Individual
DR. ZACHARY C. BOOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-3263
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0102203522
VA
207P00000X
Emergency Medicine Physician
Primary
3614
TN
207P00000X
Emergency Medicine Physician
T1651
TX
Other
Enumeration date
02/14/2012
Last updated
05/28/2025
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