Individual
ZACHARY C SCHMITTLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 S NATIONAL AVE, SPRINGFIELD, MO 65807-5209
(417) 875-3700
(417) 875-3737
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2005012197
MO
2086S0129X
Vascular Surgery Physician
Primary
2005012197
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199030
BLUE CROSS/BLUE SHIELD
—
05
—
207417700
—
MO
Enumeration date
06/15/2006
Last updated
03/03/2014
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