DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ZACKERY R DEVINE, PA

Active Sole Proprietor

ZACKERY R DEVINE, PA is a Physician Assistant healthcare provider located in EDMOND, Oklahoma. NPI 1700487147 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · EDMOND, OK

Registration Details

NPI Number
1700487147
Provider Type
Individual
Gender
Male
NPI Issued
Nov 3, 2020 (5.769374792405 yrs)
Last Updated
May 18, 2022
License
4394 (OK)
Sole Proprietor
Yes

Practice Information

Address
2017 W I 35 FRONTAGE RD STE 140
EDMOND, OK, 730138555
Browse OK providers · Browse ZIP 73013
Phone
4057573710
Fax
4057573711
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in EDMOND, OK

Name Credential NPI
VALERIE ANN STOCKTON P.A. 1811995947
MICHAL GERALYN CHRISTIAN PA C 1205829405
MRS. KATHLEEN E MASON-MORTON PA 1558355180
ERIC J CAMPBELL PA-C 1861482887
JACQUELINE COLEEN HUDSON PA-C, MHS, BSN 1538142682
MR. MARK LEE WELLS PA 1821060849
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.