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Individual

JOSHUA BRADFORD ZACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP, CRNA

Contact information

Practice address
45 N MELROSE AVE, TUCSON, AZ 85745-2956
(217) 891-3644
Mailing address
45 N MELROSE AVE, TUCSON, AZ 85745-2956
(217) 891-3644

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN194149
AZ
367500000X
Certified Registered Nurse Anesthetist
194149
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
6159
NC

Other

Enumeration date
05/15/2019
Last updated
07/16/2024
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