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Individual

MARK ZIMMERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5967 SUN APPELLO AVE, LAS VEGAS, NV 89122-3447
(702) 489-5120
(702) 489-5120
Mailing address
5967 SUN APPELLO AVE, LAS VEGAS, NV 89122-3447
(702) 489-5120
(702) 489-5120

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
97-414
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
953944
AZ
Enumeration date
01/27/2006
Last updated
06/23/2010
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