Individual
ZACHARY GERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5164 CAPITOL BLVD SE, TUMWATER, WA 98501-4442
(360) 357-3410
Mailing address
2845 N PRESCOTT RD, FLAGSTAFF, AZ 86001-1077
(937) 776-8139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2457
AZ
152W00000X
Optometrist
3548
TN
152W00000X
Optometrist
Primary
OD61189395
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD61189395
WA STATE OD LICENSE
WA
Enumeration date
07/04/2019
Last updated
08/24/2021
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