Provider Demographics
NPI:1477502094
Name:ZACHER, RICHARD C (MD)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:C
Last Name:ZACHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3033 W BELL ROAD
Mailing Address - Street 2:SUITE 102B
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053
Mailing Address - Country:US
Mailing Address - Phone:602-588-0316
Mailing Address - Fax:602-588-0463
Practice Address - Street 1:3033 W BELL ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053
Practice Address - Country:US
Practice Address - Phone:602-588-0316
Practice Address - Fax:602-588-0463
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4287207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D00602Medicare UPIN
WDBMJ03Medicare ID - Type Unspecified