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1407135205
ZACCARIAH DESMOND IVY
CENTENNIAL, CO
NPI
1407135205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 3256)
Enumeration Date
2011-08-10
Last Update Date
2022-02-09
Business Address
-- ZACCARIAH DESMOND IVY PA
14000 E ARAPAHOE RD #300
CENTENNIAL, CO 80112-4043
Phone number: 720-979-0840
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Mailing Address
-- ZACCARIAH DESMOND IVY PA
4900 S MONACO ST #210
DENVER, CO 80237-3486
Phone number: 720-979-0840
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