Individual
DR. NOAH STEPHAN ZIMBELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
50 E DUNLAP DR, PUEBLO WEST, CO 81007-1618
(719) 547-5138
(719) 547-4374
Mailing address
2036 SHERWOOD LN, PUEBLO, CO 81005-2508
(916) 501-2139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0062719
CO
207Q00000X
Family Medicine Physician
TL.0006189
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000158262
—
CO
Enumeration date
06/02/2016
Last updated
02/13/2024
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