MEDICARE: LESLIE M SIMS MD PLLC

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	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1497023105
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LESLIE M SIMS MD PLLC

Provider Business Mailing Address
First Line	:	9360 W FLAMINGO RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-6446
Country	:	US
Telephone Number	:	702-437-1111
Fax Number	:	702-202-3546

Provider Business Practice Location Address
First Line	:	9360 W FLAMINGO RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-6446
Country	:	US
Telephone Number	:	702-437-1111
Fax Number	:	702-202-3546

Authorized Official
Title or Position	:	MNG MEMBER
Name	:	LESLIE M SIMS
Credential	:	MD
Telephone Number	:	702-437-1111

Provider Enumeration Date	:	12/08/2011
Last Update Date	:	12/08/2011

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