Individual
DR. RALPH EDWARD SIMMS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6435 HARPER RD, GLEN DANIEL, WV 25844
(304) 934-6400
(304) 934-7400
Mailing address
RT 1 BOX 85, SANDSTONE, WV 25985
(304) 934-6400
(304) 934-7400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1206
WV
208D00000X
General Practice Physician
Primary
1206
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205948528
COMPANY NPI FOX SYSTEMS
WV
05
—
5630471000
—
WV
Enumeration date
03/27/2007
Last updated
07/18/2007
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