Individual
ZACHARY GLEN AMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 PROFESSIONAL PARK DR STE 21, JOHNSON CITY, TN 37604-6584
(423) 379-8120
Mailing address
475 W 260 N, OREM, UT 84057-1970
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396085718
—
UT
Enumeration date
05/21/2017
Last updated
03/28/2024
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