| Doctor Name: | DR. ZACH A TARRILLION |
| NPI Number: | 1992035307 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.T |
| License Number: | 1184403 |
| Business Practice Address: | Psc 482 Box 3052 Fpo, AP - 963629998 |
| Business Phone Number: | 3156437494 |
| Business Fax Number: | |
| Mailing Address: | Psc 482, Box 3052 FPO |
| State: | AP |
| Postal Code: | 963629998 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2010 |
| NPI Last Update Date: | 01/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 1184403 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |