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NPI Code Detail

MEDICARE: PAUL SIMMONDS M.D.

MEDICARE: PAUL SIMMONDS 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
1207L00000XAnesthesiology PhysicianD62875MD
2207L00000XAnesthesiology Physician34812AZ

General Provider Information

NPI Number : 1578595377
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL SIMMONDS M.D.
Provider Business Mailing Address
First Line : 2901 N CENTRAL AVE
Second Line : SUITE 500
City : PHOENIX
State : AZ
Zip : 85012-2700
Country : US
Telephone Number : 602-744-4765
Fax Number : 602-744-4799
Provider Business Practice Location Address
First Line : 2901 N CENTRAL AVE
Second Line : SUITE 500
City : PHOENIX
State : AZ
Zip : 85012-2700
Country : US
Telephone Number : 602-744-4765
Fax Number : 602-744-4799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 07/08/2007

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