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Individual

DR. BETH A ZIMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9426 PHOENIX VILLAGE PKWY, O FALLON, MO 63368-4781
(636) 561-5999
Mailing address
9426 PHOENIX VILLAGE PKWY, O FALLON, MO 63368-4781
(636) 561-5999

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3G36
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080132360
RAILROAD MEDICARE
MO
Enumeration date
03/28/2006
Last updated
08/26/2014
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