Provider Demographics
NPI:1588010359
Name:STANFIELD, ZACHARY ZAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:ZAN
Last Name:STANFIELD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10004 204TH AVE E STE 2700
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391-6536
Mailing Address - Country:US
Mailing Address - Phone:253-862-1967
Mailing Address - Fax:253-862-1191
Practice Address - Street 1:10004 204TH AVE E STE 2700
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-6536
Practice Address - Country:US
Practice Address - Phone:253-862-1967
Practice Address - Fax:253-862-1191
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPO61048742213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery