Individual
JEFFRY A ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5801 BREMO RD, ST FRANCIS EMERGENCY DEPARTMENT, RICHMOND, VA 23226-1907
(804) 287-7066
(804) 673-9531
Mailing address
1700 CAPEWAY RD, POWHATAN, VA 23139-7323
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0110001164
VA
363A00000X
Physician Assistant
Primary
0110001164
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110001164
BOARD OF MEDICINE
VA
Enumeration date
08/15/2005
Last updated
02/05/2021
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