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Contact Information

STACY M ZIMMERMAN, DO
250 E 200 S RM 1202
SALT LAKE CITY, UT84111-2472
 Phone: 801-581-4800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Military Health Care Provider

171000000X
Indicates primary specialty

NPI Profile & details for STACY M ZIMMERMAN · (Female)

NPI # 1437578598
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/15/2014
Last updated 09/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 02004744A
  • UT License # 11899067-1204
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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