Individual
BROOKS B ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1020 N COMMERCE ST, ARDMORE, OK 73401-3920
(580) 223-5311
(580) 223-2397
Mailing address
1020 N COMMERCE ST, ARDMORE, OK 73401-3920
(580) 223-5311
(580) 223-2397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3800
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091450A
—
OK
Enumeration date
07/20/2005
Last updated
05/09/2017
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