Individual
SHAWN T SIMMONS
Active
Individual
SHAWN T SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-32966
IA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD-32966
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01796
WELLMARK BCBS
IA
05
—
0191841
—
IA
01
—
33552
WELLMARK BCBS
IA
Enumeration date
09/23/2005
Last updated
04/01/2025
Update your record
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