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NPI Code Detail

MEDICARE: ZACH GLASCOX

MEDICARE: ZACH GLASCOX
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
1363A00000XPhysician AssistantPA64241CA

General Provider Information

NPI Number : 1891203105
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACH GLASCOX
Provider Business Mailing Address
First Line : 3770 LEAP RD
Second Line :
City : HILLIARD
State : OH
Zip : 43026-1110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10039 VINE ST
Second Line :
City : LAKESIDE
State : CA
Zip : 92040-3120
Country : US
Telephone Number : 740-513-1087
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2018
Last Update Date : 10/21/2024

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Directions to “ ZACH GLASCOX ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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