Individual
JONATHAN S SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-7756
(319) 356-1120
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-7756
(319) 356-1120
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2000160646
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
3413
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268789
—
IA
01
—
20067
WELLMARK BCBS
IA
01
—
21699
WELLMARK BCBS
IA
01
—
50145
WELLMARK BCBS
IA
Enumeration date
09/27/2005
Last updated
12/18/2007
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