Individual
MR. IAN ROBERT ZACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 MELLON WAY, LATROBE, PA 15650-1197
(724) 537-1801
(724) 532-6830
Mailing address
1 MELLON WAY, LATROBE, PA 15650-1197
(724) 537-1801
(724) 532-6830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS017876
PA
208M00000X
Hospitalist Physician
Primary
OS017876
PA
Other
Enumeration date
06/03/2013
Last updated
08/16/2016
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