Individual
CHRISTIAN G ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6140 CURTISIAN AVE, SUITE 400, BOISE, ID 83704-8880
(208) 367-3500
(208) 367-2968
Mailing address
6140 CURTISIAN AVE, SUITE 400, BOISE, ID 83704-8880
(208) 367-3500
(208) 367-2968
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M6164
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010004671
REGENCE BLUESHIELD
ID
05
—
002733000
—
ID
01
—
0182710
WA DOL
WA
01
—
057633
OMAP
OR
01
—
185367100
US DEPARTMENT OF LABOR
—
01
—
58097
WA DEPARTMENT OF LABOR
WA
01
—
72488
BLUE CROSS OF IDAHO
ID
05
—
807730000
—
ID
01
—
8J711
BC OF IDAHO GROUP
ID
Enumeration date
07/18/2006
Last updated
04/22/2008
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