Individual
DR. ZACHARY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 966-9100
Mailing address
243 VALLEY VIEW RIDGE DR, VALLEY PARK, MO 63088-1338
(239) 851-5888
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2014017955
MO
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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