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Individual

ZACHARY DOUGLAS FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
257 S 625 E, ENTERPRISE, UT 84725
(435) 669-6168
Mailing address
PO BOX 1121, ENTERPRISE, UT 84725-1121
(435) 669-6168

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12451849-1206
UT

Other

Enumeration date
10/05/2021
Last updated
10/05/2021
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