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1023114832

NPI Code Detail

MEDICARE: ROBERT A SIMMONS MD

MEDICARE: ROBERT A SIMMONS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	22917	CO
2	207RG0100X	Gastroenterology Physician	8372A	WY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	826103111	OTHER	CO	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023114832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT A SIMMONS MD

Provider Business Mailing Address
First Line	:	3702 S TIMBERLINE RD
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3624
Country	:	US
Telephone Number	:	970-207-9773
Fax Number	:	970-207-1893

Provider Business Practice Location Address
First Line	:	3702 S TIMBERLINE RD
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3624
Country	:	US
Telephone Number	:	970-207-9773
Fax Number	:	970-207-1893

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	06/08/2012

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Directions to “ ROBERT A SIMMONS MD” Practice Location

Language	Start Address	Practice Location

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