Basic Information
Provider Information
NPI: 1336380377
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZURCHER
FirstName: EMILY
MiddleName: BROOKE
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 150 W CIVIC CENTER DR
Address2: SUITE 200
City: SANDY
State: UT
PostalCode: 840704230
CountryCode: US
TelephoneNumber: 8014322600
FaxNumber:  
Practice Location
Address1: 1034 N 500 W
Address2: UTAH VALLEY REGIONAL MEDICAL CENTER
City: PROVO
State: UT
PostalCode: 846043380
CountryCode: US
TelephoneNumber: 8013577850
FaxNumber: 8014322668
Other Information
ProviderEnumerationDate: 03/22/2009
LastUpdateDate: 01/07/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X9127011-1205UTY Allopathic & Osteopathic PhysiciansAnesthesiology 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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