Provider Demographics
NPI:1922402858
Name:ZACHRY, ALISON D (MD)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:D
Last Name:ZACHRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 WASHINGTON ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-2227
Mailing Address - Country:US
Mailing Address - Phone:619-297-5437
Mailing Address - Fax:619-243-0722
Practice Address - Street 1:550 WASHINGTON ST STE 300
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2227
Practice Address - Country:US
Practice Address - Phone:619-297-5437
Practice Address - Fax:619-243-0722
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-21
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA131678208000000X
CAA131678208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics