Individual
ZACHARY OFFICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6350
(816) 271-6753
Mailing address
5301 FARAON ST STE 120, SAINT JOSEPH, MO 64506-3512
(816) 271-6350
(816) 271-6753
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2022018231
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2022
Last updated
10/09/2024
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