MEDICARE: DR. BARBARA M ZIMMERMAN MD

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
1	207Q00000X	Family Medicine Physician	23782	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1730183278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA M ZIMMERMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 1447
Second Line	:
City	:	PAGE
State	:	AZ
Zip	:	86040-1447
Country	:	US
Telephone Number	:	928-645-2424
Fax Number	:	928-645-0139

Provider Business Practice Location Address
First Line	:	467 VISTA AVENUE
Second Line	:
City	:	PAGE
State	:	AZ
Zip	:	86040-1625
Country	:	US
Telephone Number	:	928-645-8123
Fax Number	:	928-645-3862

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	03/18/2010

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