Individual
DR. ZACHARY T HAFEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED, SAINT LOUIS, MO 63110-1014
(314) 362-9123
(314) 747-3338
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-9123
(314) 747-3338
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2016030823
MO
208D00000X
General Practice Physician
2016030823
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200042457
—
MO
Enumeration date
06/29/2014
Last updated
05/04/2026
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