Zachary Wayne Bear M.D.

NPI 1124313614 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1124313614
Gender Male
Enumeration Date 06/13/2011
Last Updated 06/13/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3635 VISTA AVE
SAINT LOUIS MO, 63110-2539, US
Phone (502) 386-1254
Fax
Business Location
4460 GREENWICH CT
APT C6
SAINT LOUIS MO, 63108-2558, US
Phone (502) 386-1254
Fax
Toxanomy
Taxonomy Code 390200000X
License State Kentucky
License Number B01576903
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According to our database, Dr. Zachary Wayne Bear M.D. NPI is 1124313614, taxonomy code is 390200000X and license number is B01576903, license state is located at Kentucky. Zachary Wayne Bear M.D. physically located at 3635 Vista Ave, Saint Louis MO, 63110-2539. NPI Number Zachary Wayne Bear M.D. has the Individual type.

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1124313614 NPI number is provided on an as is basis without warranty of any kind. 1124313614 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Wayne Bear M.D. are for informational purposes only.