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Individual
JOHN B ZIMMERMAN
Active
Individual
JOHN B ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
93-269361-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002086095
—
NV
01
—
107007821101
IHC
UT
05
—
119997800
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
2614
HEALTHY U
UT
01
—
342904
DESERET MUTUAL
UT
01
—
54112
PEHP
UT
05
—
768020
—
AZ
05
—
806946400
—
ID
01
—
870545614ZI1
EDUCATORS MUTUAL
UT
01
—
PRA03755
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
10/04/2006
Last updated
10/15/2012
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