Organization
ODESSA MEDICAL CLINIC, PC
Active
Other names
Bradley L Zink DO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY L ZINK DO (PHYSICIAN OWNER)
(816) 230-8777
Entity
Organization
Contact information
Practice address
408 N. 4TH ST, SUITE B, ODESSA, MO 64076-1646
(816) 230-8777
(816) 230-8855
Mailing address
408 N. 4TH ST, SUITE B, ODESSA, MO 64076-1646
(816) 230-8777
(816) 230-8855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOR9F95
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12844049
BCBSKC INDIVIDUAL PROV
MO
01
—
31334013
BCBSKC GRP NUMBER
MO
01
—
M140000
MEDICARE GROUP NUMBER
MO
Enumeration date
05/15/2007
Last updated
08/09/2023
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