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Individual
JOHN DAVID SIMPSON
Active
Individual
JOHN DAVID SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14325
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030026
—
AL
01
—
0004114074
AETNA PROVIDER NUMBER
AL
01
—
1210242
UNITED HEALTHCARE
AL
01
—
51030026
BLUE CROSS PROVIDER NUMBE
AL
05
—
529701610
—
AL
01
—
630307306
EMPLOYER TAX ID
AL
01
—
630307306015
TRICARE PROVIDER
AL
01
—
90705
CIGNA PROVIDER NUMBER
AL
01
—
F936
BLUE CROSS COMMON PAYER
AL
Enumeration date
07/19/2006
Last updated
10/16/2018
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