Individual
BARRY CHARLES SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1018
(209) 342-2300
(209) 524-4240
Mailing address
4301 NORTHSTAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G51208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G512970
—
CA
Enumeration date
11/04/2005
Last updated
10/29/2007
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