MEDICARE: ANNE 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
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	98-393	NM

General Provider Information

NPI Number	:	1083620694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE SIMPSON MD

Provider Business Mailing Address
First Line	:	1 UNIVERSITY OF NEW MEXICO
Second Line	:	MSC11 6095
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87131-0001
Country	:	US
Telephone Number	:	505-272-4566
Fax Number	:	505-272-4569

Provider Business Practice Location Address
First Line	:	1 UNIVERSITY OF NEW MEXICO
Second Line	:	MSC11 6095
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87131-0001
Country	:	US
Telephone Number	:	505-272-4566
Fax Number	:	505-272-4569

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	05/09/2012

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