Individual
STANLEY J ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14416 W MEEKER BLVD, BLDG C, SUN CITY WEST, AZ 85375-5284
(623) 583-5083
(623) 583-5157
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3800
(623) 972-9590
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9666
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110065585
RAILROAD MEDICARE PIN
AZ
05
—
208977
—
AZ
Enumeration date
05/30/2006
Last updated
10/26/2009
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