Individual
ZACHARY FARRIS SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
500 CENTRAL PARK DR APT 517, OKLAHOMA CITY, OK 73105-1729
(405) 441-2707
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1149322
OK
Other
Enumeration date
01/26/2018
Last updated
05/10/2018
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