Individual
BONNIE G ZACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
401 BURRO ALY, MORENCI, AZ 85540-9647
(928) 865-9184
(928) 865-7571
Mailing address
2963 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929-6257
(928) 865-9184
(928) 865-7571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2560
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
634726
—
AZ
Enumeration date
07/18/2006
Last updated
05/04/2016
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