Organization
CHRISTIAN G ZIMMERMAN PA
Active
Organization
CHRISTIAN G ZIMMERMAN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN G ZIMMERMAN MD (OWNER MANAGER)
(208) 367-3500
Entity
Organization
Contact information
Practice address
6140 CURTISIAN AVE, SUITE 400, BOISE, ID 83704-8880
(208) 367-3500
(208) 367-2968
Mailing address
6140 CURTISIAN AVE, SUITE 400, BOISE, ID 83704-8880
(208) 367-3500
(208) 367-2968
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M6164
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002733000
—
ID
01
—
057633
OMAP
OR
01
—
185367100
US DEPTMANT OF LABOR
—
01
—
58097
WA DEPARTMENT OF LABOR
WA
05
—
807730000
—
ID
01
—
8J711
BC OF IDAHO GROUP
ID
Enumeration date
07/20/2006
Last updated
08/06/2008
Update your record
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