Doctor Name: | DR. TRAVIS JASON ZIMBELMAN |
NPI Number: | 1013179621 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 295 |
Business Practice Address: | 660 Mcqueen Smith Rd N Suite - F Prattville, AL - 360667554 |
Business Phone Number: | 3343588666 |
Business Fax Number: | 3343588667 |
Mailing Address: | 660 Mcqueen Smith Rd N, Suite - F PRATTVILLE |
State: | AL |
Postal Code: | 360667554 |
Phone Number: | 3343588666 |
Fax Number: | 3343588667 |
NPI Enumeration Date: | 06/26/2008 |
NPI Last Update Date: | 06/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 295 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |