Provider Demographics
NPI:1427469097
Name:GREENLEE, ZACHARIA DAVID (PA-C)
Entity type:Individual
Prefix:MR
First Name:ZACHARIA
Middle Name:DAVID
Last Name:GREENLEE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1990 N CALIFORNIA BLVD
Mailing Address - Street 2:STE 400
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-3742
Mailing Address - Country:US
Mailing Address - Phone:925-225-5837
Mailing Address - Fax:925-482-2828
Practice Address - Street 1:1990 N CALIFORNIA BLVD
Practice Address - Street 2:STE 400
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-3742
Practice Address - Country:US
Practice Address - Phone:925-225-5837
Practice Address - Fax:925-482-2828
Is Sole Proprietor?:No
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA51592363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant