Individual
TYLER ZONGKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1900 W SUNSHINE ST, SPRINGFIELD, MO 65807-2240
(417) 862-7041
Mailing address
PO BOX 4000, SPRINGFIELD, MO 65801-4000
(417) 862-7041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/05/2021
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