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Jon Zackary, MD
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1366869398

Jon Zackary is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Jon Zackary practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Jon Zackary is 1366869398 and holds a License No. 138047 (California).

The current practice location address for Jon Zackary is 7060 Clairemont Mesa Blvd, San Diego, CA and can be reached out via phone at 619-528-5164.

Location: 7060 Clairemont Mesa Blvd, San Diego, CA, 92111-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366869398
Provider Name
Jon Zackary
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7060 Clairemont Mesa Blvd, San Diego, CA, 92111-1003
Phone Number
619-528-5164
Fax Number
Provider Enumeration Date
03/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7060 Clairemont Mesa Blvd
City
San Diego
State
California
Zip
92111-1003
Phone Number
619-528-5164
Fax Number
person
Provider Business Mailing Address Details
Address
7060 Clairemont Mesa Blvd
City
San Diego
State
California
Zip
92111-1003
Phone Number
619-528-5164
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
138047 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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