# MARK JOHN SIMONSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194827998
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MEDS8005 | AK | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 4424 | SD | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 6326A | WY | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | C51604 | CA | — |
| 208VP0014X | Interventional Pain Medicine Physician | 4424 | SD | — |
| 208VP0014X | Interventional Pain Medicine Physician | 6326A | WY | — |
| 208VP0014X | Interventional Pain Medicine Physician | C51604 | CA | — |

## Other

- **Enumeration date:** 09/02/2006
- **Last updated:** 11/16/2022