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Organization
RONALD W SIMONSEN MD PC
Active
Organization
RONALD W SIMONSEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD WILLIAM SIMONSEN MD (PRESIDENT)
(814) 723-6858
Entity
Organization
Contact information
Practice address
341 BIRD AVE, WARREN, PA 16365
(814) 723-6858
Mailing address
341 BIRD AVE, WARREN, PA 16365
(814) 723-6858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD008430E
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD008430E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000623240
—
PA
Enumeration date
02/07/2006
Last updated
05/04/2010
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