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Organization
SKILLED MEDPROS
Active
Organization
SKILLED MEDPROS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY CLARK SIMPSON M.D. (M.D.)
(814) 591-2495
Entity
Organization
Contact information
Practice address
222 FALLEN TIMBER DR, DU BOIS, PA 15801-5808
(814) 591-2495
(866) 832-1744
Mailing address
222 FALLEN TIMBER DR, DU BOIS, PA 15801-5808
(814) 591-2495
(866) 832-1744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD074428-L
PA
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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