Individual
MR. JAMES RICHARD ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15 LASH ST, BAGGS, WY 82321-5005
(307) 383-2008
(307) 383-2009
Mailing address
PO BOX 37, BAGGS, WY 82321-0037
(307) 383-2008
(307) 383-2009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
152
WY
363A00000X
Physician Assistant
PA 780
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50275291
—
CO
Enumeration date
08/02/2006
Last updated
05/22/2025
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