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NPI Code Detail

MEDICARE: ANITA T SIMISON M.D.

MEDICARE: ANITA T SIMISON 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
1207Q00000XFamily Medicine PhysicianMD-36342IA

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 : 1629036546
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITA T SIMISON M.D.
Provider Business Mailing Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 920 E 2ND AVE STE 201A&B
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-2219
Country : US
Telephone Number : 319-467-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 11/22/2024

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