Individual
DR. TYRELL JONATHAN SIMKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O., PH.D.
Contact information
Practice address
3160 FOLSOM BLVD STE 2100, SACRAMENTO, CA 95816-5266
(916) 734-3588
Mailing address
3160 FOLSOM BLVD STE 2100, SACRAMENTO, CA 95816-5266
(916) 734-3588
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20A15185
CA
2084N0400X
Neurology Physician
DO192558
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A15185
CALIFORNIA MEDICAL LICENSE
CA
01
—
DO192558
OREGON MEDICAL LICENSE
OR
Enumeration date
03/25/2015
Last updated
11/30/2021
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