Individual
ZACHARY THOMAS SIRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5514 CORPORATE DR STE 120, SAINT JOSEPH, MO 64507-7754
(816) 271-1350
(816) 271-1355
Mailing address
5514 CORPORATE DR STE 120, SAINT JOSEPH, MO 64507-7754
(816) 271-1350
(816) 271-1355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025053213
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/07/2026
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