Individual
MR. CODY R SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 W MINERAL KING AVE, EMERGENCY DEPARTMENT, VISALIA, CA 93291-6237
(559) 624-2000
Mailing address
160 COLUMBIA HTS APT 4B, BROOKLYN, NY 11201-2126
(917) 539-6623
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21253
CA
Other
Enumeration date
10/14/2010
Last updated
11/03/2010
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