Individual
ZACHARY PAUL ZABRISKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 MARIO CAPECCHI DR RM 4E217, SALT LAKE CITY, UT 84112-0005
(801) 581-2121
Mailing address
81 MARIO CAPECCHI DR RM 4E217, SALT LAKE CITY, UT 84112-0005
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
D94055
MD
2080P0202X
Pediatric Cardiology Physician
Primary
13896242-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D94055
MD MEDICAID
MD
Enumeration date
03/20/2019
Last updated
04/01/2024
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