Provider Demographics
NPI:1952450371
Name:CRAIG ZIMMERMAN & ASSOCIATES PLLC
Entity Type:Organization
Organization Name:CRAIG ZIMMERMAN & ASSOCIATES PLLC
Other - Org Name:AZ SPINE AND PAIN RELIEF CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-609-9099
Mailing Address - Street 1:8550 E SHEA BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6678
Mailing Address - Country:US
Mailing Address - Phone:480-609-9099
Mailing Address - Fax:480-609-7447
Practice Address - Street 1:8550 E SHEA BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6678
Practice Address - Country:US
Practice Address - Phone:480-609-9099
Practice Address - Fax:480-609-7447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ114473Medicare PIN