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Individual

DR. KURT GERARD ZIMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
PO BOX 2429, SMYRNA, TN 37167-1719
(479) 443-4301

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2481
OK
207Q00000X
Family Medicine Physician
R3F95
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104866029
MO
05
242236909
MO
Enumeration date
06/08/2006
Last updated
12/18/2019
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