# ROGER D SIMONS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FLIPPIN FAMILY CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356549984
- **Authorized official:** ROGER D SIMONS M.D. (OWNER)
- **Authorized official phone:** (870) 453-2274

## Contact information

- **Practice address:** 111 E MAIN PLACE, SUITE 3, FLIPPIN, AR 72634
- **Practice address phone:** (870) 453-2274
- **Mailing address:** PO BOX 550, FLIPPIN, AR 72634-0550
- **Mailing address phone:** (870) 453-2274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R4272 | AR | Yes |

## Other

- **Enumeration date:** 07/05/2007
- **Last updated:** 09/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 121315002 | — | AR |
| 05 | — | 770011202 | — | AR |