Individual
ALESSANDRA ZIMMERMAN MAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1743 REDSTONE CENTER DR, PARK CITY, UT 84098-7929
(435) 658-9200
Mailing address
1743 REDSTONE CENTER DR, PARK CITY, UT 84098-7929
(435) 658-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10093801-1206
UT
363A00000X
Physician Assistant
10093801-8906
UT
Other
Enumeration date
09/20/2016
Last updated
09/14/2023
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