NPI 1194494492

Terisa Joann Zimmerman, MSLATATC

Practitioner Sports Medicine (Emergency Medicine) Physician Meridian, ID

Practice location

Address: 2000 S Millenium Way, Meridian, ID 83642-1551
Phone: (208) 871-8359
Mailing address: 2059 S Owyhee St, Boise, ID 83705-3343

Registered specialties

Sports Medicine (Emergency Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207PS0010X Licence AT-774 (ID)

Other Emergency Medicine providers in Idaho →

Registry record

NPI: 1194494492
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Sep 2021
Record last updated: 9 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.