Individual
ZACH ROBERT BOAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6000
Mailing address
EMERGENCY MEDICINE DEPARTMENT, 14 MEDICAL PARK, STE 350, COLUMBIA, SC 29203
(803) 434-7088
(803) 434-3946
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2021016111
MO
207P00000X
Emergency Medicine Physician
LL52792
SC
Other
Enumeration date
06/19/2018
Last updated
07/15/2021
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