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NPI Code Detail

MEDICARE: DR. PETER W ZIMMER M.D.

MEDICARE: DR. PETER W ZIMMER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician40675CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639141732
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER W ZIMMER M.D.
Provider Business Mailing Address
First Line : 6071 E WOODMEN RD
Second Line : #340
City : COLORADO SPRINGS
State : CO
Zip : 80923-2601
Country : US
Telephone Number : 719-591-8100
Fax Number : 719-591-8101
Provider Business Practice Location Address
First Line : 6071 E WOODMEN RD
Second Line : #340
City : COLORADO SPRINGS
State : CO
Zip : 80923-2601
Country : US
Telephone Number : 719-591-8100
Fax Number : 719-591-8101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 09/25/2008

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