Provider Demographics
NPI:1831891449
Name:LINDOW, DAVID ZACHERY (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ZACHERY
Last Name:LINDOW
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 SPRINGHILL RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:BARLING
Mailing Address - State:AR
Mailing Address - Zip Code:72923-2374
Mailing Address - Country:US
Mailing Address - Phone:801-921-9969
Mailing Address - Fax:
Practice Address - Street 1:1202 SPRINGHILL RD UNIT B
Practice Address - Street 2:
Practice Address - City:BARLING
Practice Address - State:AR
Practice Address - Zip Code:72923-2374
Practice Address - Country:US
Practice Address - Phone:801-921-9969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program