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NPI Code Detail

MEDICARE: DR. JAMES A ZIMMER DO

MEDICARE: DR. JAMES A ZIMMER DO
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 Physician26235CO

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 : 1659312650
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES A ZIMMER DO
Provider Business Mailing Address
First Line : 5715 KITTERY DRIVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80911-3529
Country : US
Telephone Number : 719-392-3883
Fax Number : 719-390-6338
Provider Business Practice Location Address
First Line : 5715 KITTERY DRIVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80911-3529
Country : US
Telephone Number : 719-392-3883
Fax Number : 719-390-6338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 10/07/2010

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