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Individual

JOHN THOMAS ZIMMERMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2490 S WOODWORTH LOOP, #499, PALMER, AK 99645-7405
(907) 746-7771
(907) 746-7798
Mailing address
2490 S WOODWORTH LOOP, #499, PALMER, AK 99645-7405
(907) 746-7771
(907) 746-7798

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
054141
GA
207RX0202X
Medical Oncology Physician
Primary
7196
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300045082A
GA
Enumeration date
06/08/2006
Last updated
12/31/2013
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