| Doctor Name: | DR. EDWARD D ZIMMERMAN |
| NPI Number: | 1386646669 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 8034A |
| Business Practice Address: | 316 N 10th St Worland, WY - 824012307 |
| Business Phone Number: | 3073478885 |
| Business Fax Number: | 3073472428 |
| Mailing Address: | 316 N 10th St, WORLAND |
| State: | WY |
| Postal Code: | 824012307 |
| Phone Number: | 3073478885 |
| Fax Number: | 3073472428 |
| NPI Enumeration Date: | 06/01/2005 |
| NPI Last Update Date: | 06/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 8034A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |