DEREK GUY ZICKGRAF

BAKER CITY, OR
NPI1568774362
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  DO181773)
Enumeration Date2010-07-08
Last Update Date2017-03-29
Business Address
-- DEREK GUY ZICKGRAF DO
3175 POCAHONTAS RD
BAKER CITY, OR 97814
Phone number: 541-523-4415
Mailing Address
-- DEREK GUY ZICKGRAF DO
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 541-523-4415
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