Provider Demographics
NPI:1477249340
Name:ANDREWS, ZACHARY BRICE
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:BRICE
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 VALLEY VIEW LOOP
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-7316
Mailing Address - Country:US
Mailing Address - Phone:361-205-2069
Mailing Address - Fax:
Practice Address - Street 1:590 MOFFET ST
Practice Address - Street 2:
Practice Address - City:JBPHH
Practice Address - State:HI
Practice Address - Zip Code:96853-5168
Practice Address - Country:US
Practice Address - Phone:808-204-3544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider