Individual
MR. ZACHARY DUKANE PRYOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
1745 10TH STREET, BEACH MASTER UNIT TWO, VIRGINIA BEACH, VA 23459
(757) 462-7205
Mailing address
123 SEWELL RD, JACKSONVILLE, NC 28540-9607
(910) 346-4076
(910) 346-4076
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
03/08/2010
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