Individual
MARK N SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2807 ROSLYN ST, DENVER, CO 80238-2624
(303) 403-6333
(303) 403-6325
Mailing address
DEPT 557, DENVER, CO 80291-0557
(303) 467-4155
(303) 467-4156
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
39050
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26409534
—
CO
01
—
P00056237
MEDICARE RAILROAD
—
Enumeration date
06/09/2006
Last updated
12/17/2007
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