Individual
DR. ZACHARY CHARLES YENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3399 E LOUISE DR STE 200, MERIDIAN, ID 83642-5212
(208) 706-2663
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35.131519
OH
207X00000X
Orthopaedic Surgery Physician
Primary
M-16032
ID
Other
Enumeration date
04/19/2012
Last updated
01/24/2022
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