Individual
DR. ZACKWRIE S PARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2002 KANELL BLVD, SUITE 201, POPLAR BLUFF, MO 63901-4045
(573) 785-4959
(573) 785-6405
Mailing address
4061 HIGHWAY PP, POPLAR BLUFF, MO 63901-3967
(573) 778-0020
(573) 778-1647
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000617
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188277
BLUE CROSS BLUE SHIELD
MO
05
—
302717715
—
MO
Enumeration date
04/19/2006
Last updated
07/08/2007
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