Provider Demographics
NPI:1760059141
Name:REESE, ZACHARY ROBERT (PA-C)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:ROBERT
Last Name:REESE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ANJOU CIR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-2051
Mailing Address - Country:US
Mailing Address - Phone:661-557-1216
Mailing Address - Fax:
Practice Address - Street 1:101 ANJOU CIR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95835-2051
Practice Address - Country:US
Practice Address - Phone:661-557-1216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-05
Last Update Date:2021-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical