Individual
DR. BRUCE E ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20375 W. 151ST ST, SUITE 106A, OLATHE, KS 66061-5353
(913) 764-2737
(913) 764-7502
Mailing address
PO BOX 874480, KANSAS CITY, MO 64187-0001
(913) 764-2737
(913) 764-7502
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
04-18507
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040013096
MEDICARE RAILROAD
—
01
—
13644031
BCBS KC
—
01
—
263013
HEALTHLINK
—
01
—
402512
BCBS KS
—
01
—
D446804
MEDICARE KC
—
Enumeration date
07/05/2005
Last updated
03/01/2012
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