Individual
DR. ZACHARY PEARCE NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 NE 10TH ST, OKCC L100, OKLAHOMA CITY, OK 73104-5418
(405) 271-5641
(405) 271-8297
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2019010502
MO
2085R0203X
Therapeutic Radiology Physician
29277
OK
Other
Enumeration date
05/18/2011
Last updated
09/23/2021
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