Provider Demographics
NPI:1235281601
Name:ZACHER, JUDITH B (MD)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:B
Last Name:ZACHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:43585 MONTEREY AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-9342
Mailing Address - Country:US
Mailing Address - Phone:760-773-6616
Mailing Address - Fax:760-773-6618
Practice Address - Street 1:43585 MONTEREY AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-9342
Practice Address - Country:US
Practice Address - Phone:760-773-6616
Practice Address - Fax:760-773-6618
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG78060208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
D31124Medicare UPIN