Individual
MARK JOHN SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 HOSPITAL PL STE 204B, SOLDOTNA, AK 99669-7559
(907) 714-4120
Mailing address
PO BOX 2509, SOLDOTNA, AK 99669-2509
(907) 260-5455
(907) 714-3111
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MEDS8005
AK
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
4424
SD
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
6326A
WY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
C51604
CA
208VP0014X
Interventional Pain Medicine Physician
4424
SD
208VP0014X
Interventional Pain Medicine Physician
6326A
WY
208VP0014X
Interventional Pain Medicine Physician
C51604
CA
Other
Enumeration date
09/02/2006
Last updated
11/16/2022
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