Individual
ZACH J TANKERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1600 MEDICAL CENTER DR, SUITE G500, HUNTINGTON, WV 25701-3656
(304) 691-1262
(304) 691-1254
Mailing address
1600 MEDICAL CENTER DR, SUITE G500, HUNTINGTON, WV 25701-3656
(304) 691-1262
(304) 691-1254
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
00445
KY
213E00000X
Podiatrist
10393
WV
213ES0103X
Foot & Ankle Surgery Podiatrist
00445
KY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
10393
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006660
—
WV
Enumeration date
09/12/2006
Last updated
11/17/2021
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