Individual
DR. DAVID D ZOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 S WHITNEY AVE, # 200, INDEPENDENCE, MO 64055-6765
(816) 478-4887
(816) 478-7222
Mailing address
17501 E 40 HWY, STE 213A, INDEPENDENCE, MO 64055-6445
(816) 478-4887
(816) 478-7222
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
R3508
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201619038
—
MO
Enumeration date
05/24/2005
Last updated
07/18/2008
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