JOHN CLAYTON ZIMBARDO

RAPID CITY, SD
NPI1790332245
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: SD  1308)
Enumeration Date2019-08-20
Last Update Date2021-09-14
Business Address
JOHN CLAYTON ZIMBARDO
2805 5TH ST
RAPID CITY, SD 57701-6003
Phone number: 605-755-5700
Mailing Address
JOHN CLAYTON ZIMBARDO
3300 PEARL CIR
SIMI VALLEY, CA 93063-1540
Phone number: 805-630-0816