Provider Demographics
NPI:1437917960
Name:VINTON, ZACHARY CONNER (DO)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:CONNER
Last Name:VINTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 S YOSEMITE ST APT F208
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5163
Mailing Address - Country:US
Mailing Address - Phone:720-940-5734
Mailing Address - Fax:
Practice Address - Street 1:982055 NEBRASKA MEDICAL CENTER OMAHA
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-5163
Practice Address - Country:US
Practice Address - Phone:025-590-3904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NE10006207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program