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NPI Code Detail

MEDICARE: DR. PAUL VICTOR ZIMMER MD

MEDICARE: DR. PAUL VICTOR ZIMMER 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
1207Q00000XFamily Medicine Physician3400AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2920088665OTHERAKCLINIC TAXPAYER NUMBER

General Provider Information

NPI Number : 1265405906
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL VICTOR ZIMMER MD
Provider Business Mailing Address
First Line : 1911 E REZANOF DR
Second Line :
City : KODIAK
State : AK
Zip : 99615-6602
Country : US
Telephone Number : 907-481-5000
Fax Number : 907-481-5030
Provider Business Practice Location Address
First Line : 1911 E REZANOF DR
Second Line :
City : KODIAK
State : AK
Zip : 99615-6602
Country : US
Telephone Number : 907-481-5000
Fax Number : 907-481-5030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 04/25/2013

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Directions to “ DR. PAUL VICTOR ZIMMER MD” Practice Location

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