Doctor Name: | SARA ZIMMER |
NPI Number: | 1568548139 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 42807-020 |
Business Practice Address: | 100 Brewster Blvd Naval Hospital, Camp Lejeune Camp Lejeune, NC - 285472538 |
Business Phone Number: | 9104504159 |
Business Fax Number: | 9104504194 |
Mailing Address: | 100 Brewster Blvd, Naval Hospital, Camp Lejeune CAMP LEJEUNE |
State: | NC |
Postal Code: | 285472538 |
Phone Number: | 9104504159 |
Fax Number: | 9104504194 |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 09/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 42807-020 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |