Individual
WILLIAM ZACHARY PETRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-5110
(573) 335-4689
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2018013801
MO
390200000X
Student in an Organized Health Care Education/Training Program
2015017903
MO
Other
Enumeration date
05/04/2015
Last updated
03/01/2021
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