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NPI Code Detail

MEDICARE: DR. DAVID W SIMMONDS PH D

MEDICARE:  DR. DAVID W SIMMONDS  PH D
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
1103TC0700XClinical Psychologist0308KS

General Provider Information

NPI Number : 1194729681
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID W SIMMONDS PH D
Provider Business Mailing Address
First Line : PO BOX 782830
Second Line :
City : WICHITA
State : KS
Zip : 67278-2830
Country : US
Telephone Number : 316-686-6303
Fax Number : 316-686-6764
Provider Business Practice Location Address
First Line : 9415 E HARRY BLDG 800
Second Line :
City : WICHITA
State : KS
Zip : 67207-5072
Country : US
Telephone Number : 316-686-6303
Fax Number : 316-686-6764
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID W SIMMONDS PH D” Practice Location

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