Individual
DR. AMBER ZIMMER DEPTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9880 ANGIES WAY STE 410, LOUISVILLE, KY 40241-2850
(502) 394-6600
(502) 394-3689
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 394-6600
(502) 394-3689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015005959
MO
208D00000X
General Practice Physician
2015005959
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200071191
—
MO
Enumeration date
06/21/2012
Last updated
09/01/2022
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