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Individual

COURTNEY ZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
107 E OAK AVE, FLAGSTAFF, AZ 86001-1818
(928) 779-7880
Mailing address
10511 GOLF COURSE RD NW STE 204, ALBUQUERQUE, NM 87114-5917
(505) 727-4430

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10477
AZ
363AM0700X
Medical Physician Assistant
PA2021-0115
NM
363AM0700X
Medical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80039251
NM
Enumeration date
10/08/2021
Last updated
08/15/2024
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