Individual
DR. G. ZACHARIA REAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 739-3000
(970) 667-0847
Mailing address
PO BOX 7446, LOVELAND, CO 80537-0446
(970) 663-2742
(970) 667-0847
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A10912
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
20A10912
CA
207RP1001X
Pulmonary Disease Physician
20A10912
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A10912
LICENSE #
CA
Enumeration date
07/07/2009
Last updated
02/04/2022
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