| Big Horn Family Medicine Llc | |
|
316 N 10th St Worland WY 82401-2307 | |
| (307) 347-8885 | |
| (307) 347-2428 |
| Full Name | Big Horn Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 316 N 10th St, Worland, Wyoming |
| Authorized Official Name and Position | Edward Doyle Zimmerman (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3073478885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Horn Family Medicine Llc 316 N 10th St Worland WY 82401-2307 Ph: (307) 347-8885 | Big Horn Family Medicine Llc 316 N 10th St Worland WY 82401-2307 Ph: (307) 347-8885 |
| NPI Number | 1174764757 |
|---|---|
| Provider Enumeration Date | 03/12/2009 |
| Last Update Date | 03/12/2009 |
| Medicare PECOS PAC ID | 0143378943 |
|---|---|
| Medicare Enrollment ID | O20090506000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174764757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8034A (Wyoming) | Primary |
| Provider Name | Edward D Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386646669 PECOS PAC ID: 0042276990 Enrollment ID: I20080905000010 |
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