Individual
JACK ANDERSON ZAMORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3773 CHERRY CREEK NORTH DR, SUITE 140, DENVER, CO 80209-3814
(303) 780-7377
Mailing address
36 STEELE STREET, DENVER, CO 80206
(303) 780-7377
(866) 420-2197
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
215374
MA
207W00000X
Ophthalmology Physician
Primary
42961
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181542901
RAILROAD MEDICARE
CO
05
—
78134765
—
CO
Enumeration date
12/22/2005
Last updated
07/26/2018
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