ZACHARY D. VAN WAGONER

PAYSON, UT
NPI1346549912
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: UT  9651138-1205)
Enumeration Date2011-03-22
Last Update Date2017-03-14
Business Address
Dr. ZACHARY D. VAN WAGONER M.D.
1000 E 15 S STE 350
PAYSON, UT 84651-3246
Phone number: 801-465-5602
Mailing Address
Dr. ZACHARY D. VAN WAGONER M.D.
3550 N UNIVERSITY AVE STE 250
PROVO, UT 84604-6685
Phone number: 801-374-9625
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