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NPI Code Detail

MEDICARE: HENRY SIMMONS M.D.

MEDICARE: HENRY SIMMONS 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
1146D00000XPersonal Emergency Response AttendantC5728AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
154856OTHERARBCBS

General Provider Information

NPI Number : 1902833924
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRY SIMMONS M.D.
Provider Business Mailing Address
First Line : 2909 MILITARY RD
Second Line :
City : BENTON
State : AR
Zip : 72015-2721
Country : US
Telephone Number : 501-315-6500
Fax Number : 501-315-0006
Provider Business Practice Location Address
First Line : 2909 MILITARY RD
Second Line :
City : BENTON
State : AR
Zip : 72015-2721
Country : US
Telephone Number : 501-315-6500
Fax Number : 501-315-0006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 07/08/2007

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Directions to “ HENRY SIMMONS M.D.” Practice Location

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