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Dr. Zachary Paul Luchtefeld, DO
Family Medicine Physician in Maryville, Illinois
NPI 1194107573

Zachary Paul Luchtefeld is a Family Medicine Physician based in Maryville, IL. Zachary Paul Luchtefeld practices in Maryville, IL and has the professional credentials of DO. The NPI Number for Zachary Paul Luchtefeld is 1194107573 and holds a License No. 2015018601 (Illinois).

The current practice location address for Zachary Paul Luchtefeld is 2401 S Center St, Maryville, IL and can be reached out via phone at 618-344-3046 and via fax at 618-344-5284.

Location: 2401 S Center St, Maryville, IL, 62062-5401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194107573
Provider Name
Zachary Paul Luchtefeld
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2401 S Center St, Maryville, IL, 62062-5401
Phone Number
618-344-3046
Fax Number
618-344-5284
Provider Enumeration Date
06/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2401 S Center St
City
Maryville
State
Illinois
Zip
62062-5401
Phone Number
618-344-3046
Fax Number
618-344-5284
person
Provider Business Mailing Address Details
Address
2401 S Center St
City
Maryville
State
Illinois
Zip
62062-5401
Phone Number
618-344-3046
Fax Number
618-344-5284
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036145117 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2015018601 (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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