Provider Demographics
NPI:1326305483
Name:ROEDER, ZACHARY S (MD)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:S
Last Name:ROEDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:13280 EVENING CREEK DR S STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-4109
Mailing Address - Country:US
Mailing Address - Phone:858-546-3800
Mailing Address - Fax:858-546-3900
Practice Address - Street 1:2627 FAIRFAX DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-2813
Practice Address - Country:US
Practice Address - Phone:858-546-3800
Practice Address - Fax:858-546-3900
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2024-05-16
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Provider Licenses
StateLicense IDTaxonomies
AZ570732085R0202X
CAA1588042085R0202X
ARE-144172085R0202X
VA01012632292085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology