Individual
SANDRA SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
411 W RANDOLPH RD, HOPEWELL, VA 23860-2938
(804) 452-3624
Mailing address
PO BOX 17572, BALTIMORE, MD 21297-1572
(866) 916-5259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101238456
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010188814
—
VA
Enumeration date
07/13/2006
Last updated
06/12/2009
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