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NPI Code Detail

MEDICARE: DR. ZACHARY WEEDER SIMPSON MD

MEDICARE: DR. ZACHARY WEEDER SIMPSON 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
1207RG0300XGeriatric Medicine (Internal Medicine) PhysicianMD065196LPA

General Provider Information

NPI Number : 1073514121
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZACHARY WEEDER SIMPSON MD
Provider Business Mailing Address
First Line : 1201 GRAMPIAN BLVD
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-1900
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1100 GRAMPIAN BLVD
Second Line :
City : WILLIAMSPORT
State : PA
Zip : 17701-1909
Country : US
Telephone Number : 570-320-7691
Fax Number : 570-320-7898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 11/09/2015

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Directions to “ DR. ZACHARY WEEDER SIMPSON MD” Practice Location

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