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NPI Code Detail

MEDICARE: DR. FRANK BERNARD SIMCHAK MD

MEDICARE:  DR. FRANK BERNARD SIMCHAK  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
1174400000XSpecialist5860AZ

General Provider Information

NPI Number : 1033199781
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK BERNARD SIMCHAK MD
Provider Business Mailing Address
First Line : MOON MOUNTAIN TRAIL #7
Second Line :
City : PHOENIX
State : AZ
Zip : 85023
Country : US
Telephone Number : 602-993-6826
Fax Number :
Provider Business Practice Location Address
First Line : 2302 W GREENWAY RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85023-4235
Country : US
Telephone Number : 602-942-2310
Fax Number : 602-942-1735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 12/04/2007

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Directions to “ DR. FRANK BERNARD SIMCHAK MD” Practice Location

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