Dr ZACHARY D VAN WAGONER is a male medical professional, specializing in General Surgery. He graduated in 2011 from Ohio State University College Of Medicine.
TANNER MEMORIAL CLINIC
2121 N 1700
TANNER CLINIC
LAYTON
UT
840418803
Tel: 8017734840
| Npi | 1346549912 |
| Pac Id | 1456570787 |
| Professional Enrollment Id | I20160714001640 |
| Last Name | VAN WAGONER |
| First Name | ZACHARY |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | TANNER MEMORIAL CLINIC |
| Group Practice Pac Id | 4284547985 |
| Number Of Group Practice Members | 142 |
| Line 1 Street Address | 2121 N 1700 |
| Line 2 Street Address | TANNER CLINIC |
| Marker Of Address Line 2 Suppression | |
| City | LAYTON |
| State | UT |
| Zip Code | 840418803 |
| Phone Number | 8017734840 |
| Hospital Affiliation Ccn 1 | 460041 |
| Hospital Affiliation Lbn 1 | DAVIS HOSPITAL AND MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 460061 |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | 460004 |
| Hospital Affiliation Lbn 3 | MCKAY DEE HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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