Provider Demographics
NPI:1700381589
Name:ZAGER, DARCI LYN
Entity Type:Individual
Prefix:
First Name:DARCI
Middle Name:LYN
Last Name:ZAGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1626
Mailing Address - Street 2:
Mailing Address - City:BLANCHARD
Mailing Address - State:OK
Mailing Address - Zip Code:73010-1626
Mailing Address - Country:US
Mailing Address - Phone:928-925-0370
Mailing Address - Fax:
Practice Address - Street 1:218 N MADISON AVE
Practice Address - Street 2:
Practice Address - City:BLANCHARD
Practice Address - State:OK
Practice Address - Zip Code:73010-5800
Practice Address - Country:US
Practice Address - Phone:928-925-0370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator