Individual
MICHAEL SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2420 W PIERCE ST, STE 105, CARLSBAD, NM 88220-3543
(575) 628-8837
(575) 628-8848
Mailing address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
(575) 628-5051
(575) 628-0493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
78-261
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM009K50
BCBS
NM
05
—
40626075
—
NM
01
—
P00138263
RAILROAD MEDICARE
NM
Enumeration date
04/25/2006
Last updated
05/14/2010
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