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NPI Code Detail

MEDICARE: JOSHUA MICAH ZIMMERMAN MD

MEDICARE:   JOSHUA MICAH 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
1207L00000XAnesthesiology Physician5414503-1205UT

General Provider Information

NPI Number : 1619921087
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA MICAH ZIMMERMAN MD
Provider Business Mailing Address
First Line : 619 7TH AVE
Second Line :
City : SLC
State : UT
Zip : 84103-3053
Country : US
Telephone Number : 801-581-6393
Fax Number :
Provider Business Practice Location Address
First Line : 50 N MEDICAL DR
Second Line : SLC
City : SLC
State : UT
Zip : 84132-0001
Country : US
Telephone Number : 801-581-6393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 12/20/2021

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Directions to “ JOSHUA MICAH ZIMMERMAN MD” Practice Location

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