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BARKLIE WATERS ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7811 FOREST AVENUE, SUITE 300, RICHMOND, VA 23229-4920
(804) 968-4435
(804) 968-4463
Mailing address
7611 FOREST AVE, SUITE 300, RICHMOND, VA 23229-4946
(804) 968-4435
(804) 968-4463

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0101039362
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007364644
VA
01
VAA104105
MEDICARE PTAN
VA
Enumeration date
05/04/2006
Last updated
09/07/2011
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