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NPI Code Detail

MEDICARE: JODI L SIMS BA

MEDICARE:   JODI L SIMS  BA
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
1171W00000XContractor

General Provider Information

NPI Number : 1881828721
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI L SIMS BA
Provider Business Mailing Address
First Line : 308 S FRANKLIN ST
Second Line :
City : DENVER
State : CO
Zip : 80209-2609
Country : US
Telephone Number : 316-288-0060
Fax Number : 303-333-4097
Provider Business Practice Location Address
First Line : 308 S FRANKLIN ST
Second Line :
City : DENVER
State : CO
Zip : 80209-2609
Country : US
Telephone Number : 316-288-0060
Fax Number : 303-333-4097
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2009
Last Update Date : 05/06/2009

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Directions to “ JODI L SIMS BA” Practice Location

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