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NPI Code Detail

MEDICARE: COURTNEY ALEXANDRA SIMMONS

MEDICARE: COURTNEY ALEXANDRA SIMMONS
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
1171000000XMilitary Health Care Provider

General Provider Information

NPI Number : 1750264735
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY ALEXANDRA SIMMONS
Provider Business Mailing Address
First Line : 34800 BOB WILSON DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92134-5000
Country : US
Telephone Number : 832-296-9260
Fax Number :
Provider Business Practice Location Address
First Line : 34800 BOB WILSON DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92134-5000
Country : US
Telephone Number : 832-296-9260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2025
Last Update Date : 01/24/2026

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Directions to “ COURTNEY ALEXANDRA SIMMONS ” Practice Location

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