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NPI Code Detail

MEDICARE: ALAN SCOTT ZACHARIAS M.D.

MEDICARE:   ALAN SCOTT ZACHARIAS  M.D.
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
12084N0400XNeurology PhysicianDR.0041937CO

General Provider Information

NPI Number : 1356385827
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN SCOTT ZACHARIAS M.D.
Provider Business Mailing Address
First Line : 5450 WESTERN AVE
Second Line :
City : BOULDER
State : CO
Zip : 80301-2709
Country : US
Telephone Number : 303-415-8800
Fax Number : 303-415-8801
Provider Business Practice Location Address
First Line : 4801 RIVERBEND RD STE 200
Second Line :
City : BOULDER
State : CO
Zip : 80301-2613
Country : US
Telephone Number : 303-415-8800
Fax Number : 303-415-8801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 05/10/2019

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Directions to “ ALAN SCOTT ZACHARIAS M.D.” Practice Location

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