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NPI Code Detail

MEDICARE: DR. WILLIAM GIBSON SIMPSON M.D.

MEDICARE: DR. WILLIAM GIBSON SIMPSON M.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
1207RG0100XGastroenterology Physician30937OK
2207RG0100XGastroenterology PhysicianJ5017TX
3207RG0100XGastroenterology Physician79718MT

Other Identifiers

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

General Provider Information

NPI Number : 1487655346
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM GIBSON SIMPSON M.D.
Provider Business Mailing Address
First Line : 320 SUNNYVIEW LN
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3129
Country : US
Telephone Number : 406-752-7441
Fax Number :
Provider Business Practice Location Address
First Line : 320 SUNNYVIEW LN
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3129
Country : US
Telephone Number : 406-752-7441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 11/27/2023

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