Individual
DR. BRADLEY LEONARD ZINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
—
080185566
RAILROAD MEDICARE
MO
01
—
12844049
BC/BS KC IND PROV
MO
Enumeration date
04/12/2006
Last updated
08/09/2023
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