Individual
ZACHARY WICAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 536-7222
Mailing address
13049 KING CIR, BROOMFIELD, CO 80020-5258
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
172918
CO
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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