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Zachary Thomas White, DPM
Student in an Organized Health Care Education/Training Program in Bridgeton, Missouri
NPI 1104501998

Zachary Thomas White is a Student in an Organized Health Care Education/Training Program based in Kirkwood, MO. Zachary Thomas White practices in Bridgeton, MO and has the professional credentials of DPM. The NPI Number for Zachary Thomas White is 1104501998 and holds a License No. (Missouri).

The current practice location address for Zachary Thomas White is 12303 De Paul Dr, Bridgeton, MO and can be reached out via phone at 314-344-6000.

Location: 12303 De Paul Dr, Bridgeton, MO, 63122-2502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104501998
Provider Name
Zachary Thomas White
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
12303 De Paul Dr, Bridgeton, MO, 63122-2502
Phone Number
314-344-6000
Fax Number
Provider Enumeration Date
06/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12303 De Paul Dr
City
Bridgeton
State
Missouri
Zip
63044-2512
Phone Number
314-344-6000
Fax Number
person
Provider Business Mailing Address Details
Address
12303 De Paul Dr
City
Bridgeton
State
Missouri
Zip
63044-2512
Phone Number
314-344-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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