Individual
MR. ROBERT ALAN ZIMMERMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2017 W I 35 FRONTAGE RD STE 250, EDMOND, OK 73013-8561
(480) 310-9114
Mailing address
1919 E 2ND ST APT 128, EDMOND, OK 73034-6220
(480) 310-9114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5145
OK
Other
Enumeration date
01/08/2024
Last updated
05/04/2024
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