ZACHORY FRED DEISS

CASPER, WY
NPI1033286422
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WY  4193A)
Enumeration Date2006-11-29
Last Update Date2012-10-22
Business Address
-- ZACHORY FRED DEISS MD
1522 E A ST
CASPER, WY 82601-2217
Phone number: 307-234-6161
Mailing Address
-- ZACHORY FRED DEISS MD
1000 ROAD 9
POWELL, WY 82435-9225
Phone number:
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