Individual
DERRON M SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2221 N BUCHANAN ST, ARLINGTON, VA 22207-2526
(703) 688-2478
(703) 688-3438
Mailing address
2221 N. BUCHANAN STREET, ARLINGTON, VA 22207
(703) 688-2478
(703) 688-3438
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101232169
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00X035C01
MEDICARE
VA
01
—
189723
ANTHEM
—
Enumeration date
03/24/2006
Last updated
08/21/2012
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