| NPI | 1174764757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD DOYLE ZIMMERMAN Owner/Physician 307-347-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 8034A) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |