Individual
BRYAN PAUL ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2360 AMPHIBIOUS DR, VIRGINIA BEACH, VA 23459-8810
(757) 462-3423
(757) 462-2115
Mailing address
225 EQUINOX LNDG, SUFFOLK, VA 23434-2078
(401) 808-0792
(757) 462-2115
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
03/24/2010
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