Provider Demographics
NPI:1780862425
Name:ZARBOCK, ZACHARY ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:ROBERT
Last Name:ZARBOCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:758 SUNSET PONDS DR
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-7510
Mailing Address - Country:US
Mailing Address - Phone:801-495-0177
Mailing Address - Fax:
Practice Address - Street 1:758 SUNSET PONDS DR
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-7510
Practice Address - Country:US
Practice Address - Phone:801-495-0177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6353546-12052080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine