Healthcare Provider Details

I. General information

NPI: 1285926238
Provider Name (Legal Business Name): RICHARD ZACHARY BETTERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2011
Last Update Date: 04/14/2026
Certification Date: 12/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 S NATIONAL AVE DIV PED CRITICAL CARE MED, STE 1200
SPRINGFIELD MO
65807-5210
US

IV. Provider business mailing address

PO BOX 7412011
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 417-269-4850
  • Fax: 417-269-4852
Mailing address:
  • Phone: 417-269-4850
  • Fax: 417-269-4852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2021030364
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number2021030364
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: