Individual
DR. DAVID N SIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,P.A.
Contact information
Practice address
6014 W EMERALD ST, BOISE, ID 83704-8855
(208) 376-8666
(208) 376-8902
Mailing address
6014 W EMERALD ST, BOISE, ID 83704-8855
(208) 376-8666
(208) 376-8902
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
M-3561
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010001844
BLUE SHIELD
ID
01
—
35618
BLUE CROSS
ID
Enumeration date
10/29/2007
Last updated
10/29/2007
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