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Individual

JOHN B ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER, PROVO, UT 84604
(801) 507-5248
(801) 733-5618
Mailing address
3340 NORTH CENTER ST, 200, LEHI, UT 84043
(801) 990-1911
(801) 990-1912

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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