Individual
JILL SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
Mailing address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0032685
WA
Other
Enumeration date
10/23/2006
Last updated
10/21/2009
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