Individual
DR. ZACHARY TYLER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
350 N SWITZER CANYON DR, FLAGSTAFF, AZ 86001-4826
(928) 779-0500
Mailing address
3813 W CIELO GRANDE, GLENDALE, AZ 85310-4136
(307) 680-5426
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002607
AZ
Other
Enumeration date
07/15/2022
Last updated
07/21/2022
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