Individual
JONATHAN T SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 HILYARD ST STE 330, EUGENE, OR 97401-8110
(813) 974-2538
Mailing address
445 HARLOW RD STE 200, SPRINGFIELD, OR 97477-1341
(413) 027-7715
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD60182987
WA
2085R0202X
Diagnostic Radiology Physician
ME19998
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME89998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275403700
—
FL
01
—
53061
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/27/2006
Last updated
07/05/2024
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