Individual
DR. ZACHARY GENE WALBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
623 ATWELLS AVE, PROVIDENCE, RI 02909-7403
(401) 273-7100
Mailing address
623 ATWELLS AVE, PROVIDENCE, RI 02909-7403
(401) 273-7100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00661
RI
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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