Individual
DEBORAH MARTIN ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
555 PARK PLAZA II, BRECKENRIDGE, CO 80424
(970) 453-5000
Mailing address
4112 OUTLOOK BLVD, SUITE 37, PUEBLO, CO 81008-1667
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1075
CO
363AM0700X
Medical Physician Assistant
1075
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99231786
—
CO
Enumeration date
02/15/2006
Last updated
12/09/2010
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