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1033286422
ZACHORY FRED DEISS
CASPER, WY
NPI
1033286422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WY 4193A)
Enumeration Date
2006-11-29
Last Update Date
2012-10-22
Business Address
-- ZACHORY FRED DEISS MD
1522 E A ST
CASPER, WY 82601-2217
Phone number: 307-234-6161
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Mailing Address
-- ZACHORY FRED DEISS MD
1000 ROAD 9
POWELL, WY 82435-9225
Phone number:
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