ZACCARIAH DESMOND IVY

CENTENNIAL, CO
NPI1407135205
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  3256)
Enumeration Date2011-08-10
Last Update Date2022-02-09
Business Address
-- ZACCARIAH DESMOND IVY PA
14000 E ARAPAHOE RD #300
CENTENNIAL, CO 80112-4043
Phone number: 720-979-0840
Mailing Address
-- ZACCARIAH DESMOND IVY PA
4900 S MONACO ST #210
DENVER, CO 80237-3486
Phone number: 720-979-0840
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