Organization
OZARK INTERNAL MEDICINE AND PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY ZIMMERMAN MD (PROVIDER)
(501) 745-3033
Entity
Organization
Contact information
Practice address
175 VOLUNTEERS PKWY, CLINTON, AR 72031
(501) 745-3033
(501) 745-8099
Mailing address
P O BOX 429, CLINTON, AR 72031
(501) 745-3033
(501) 745-8099
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149500002
—
AR
Enumeration date
07/04/2006
Last updated
07/24/2014
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