Individual
DR. PAMELA M. ZIMMERMAN-OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 STADIUM DRIVE, MORGANTOWN, WV 26506
(304) 598-4000
(304) 293-6963
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
22535
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006444
—
WV
01
—
P00354927
RAILROAD MEDICARE
WV
Enumeration date
09/28/2006
Last updated
01/31/2025
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