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NPI Code Detail

MEDICARE: RICHARD A ZAK MD

MEDICARE: RICHARD A ZAK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianG43123CA
2207RG0100XGastroenterology PhysicianDR.0046511CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2100008933OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316930506
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD A ZAK MD
Provider Business Mailing Address
First Line : 95 S PAGOSA BLVD
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-8329
Country : US
Telephone Number : 970-731-3700
Fax Number : 970-731-0504
Provider Business Practice Location Address
First Line : 95 S PAGOSA BLVD
Second Line :
City : PAGOSA SPRINGS
State : CO
Zip : 81147-8329
Country : US
Telephone Number : 970-731-3700
Fax Number : 970-731-0504
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 03/23/2017

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Directions to “ RICHARD A ZAK MD” Practice Location

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