Individual
STEPHEN H ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
401 GRAHAM ST, WEST MEMPHIS, AR 72301-3117
(870) 735-6500
(870) 735-4442
Mailing address
401 GRAHAM ST, WEST MEMPHIS, AR 72301-3117
(870) 735-6500
(870) 735-4442
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
120
AR
213E00000X
Podiatrist
365
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118596717
—
AR
01
—
480010758
MEDICARE ID TYPE UNSPECIFIED
TN
01
—
480027256
MEDICARE ID TYPE UNSPECIFIED
AR
Enumeration date
01/27/2006
Last updated
01/26/2016
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