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Individual
GARY ALFRED SIMMONS
Active
Individual
GARY ALFRED SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
83-170245-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501264
—
NV
01
—
107006049101
IHC
UT
05
—
108062800
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED HEALTHCARE
UT
01
—
3236
HEALTHY U
UT
01
—
36519
DESERET MUTUAL
UT
01
—
37819
PEHP
UT
05
—
804070000
—
ID
05
—
822149
—
AZ
01
—
8597445
WORKERS COMP. FUND
UT
01
—
870545614SI2
EDUCATORS MUTUAL
UT
01
—
PRA05805
MOLINA
UT
01
—
QM0000075886
ALTIUS
UT
Enumeration date
07/31/2006
Last updated
10/15/2012
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