Individual
DR. SANDRA ZAKROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
545 BROADRIDGE DR, JACKSON, MO 63755-3001
(573) 243-8408
(573) 243-0445
Mailing address
PO BOX 843225, KANSAS CITY, MO 64184-3225
(708) 633-1234
(708) 342-7100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001004451
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050010581
CPIN
MO
01
—
1821072976
ANTHEM BCBS
MO
05
—
1821072976
—
MO
05
—
205286909
—
MO
05
—
205286917
—
MO
01
—
466716
HEALTHLINK
MO
Enumeration date
12/02/2005
Last updated
02/03/2012
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