Individual
DANIEL J SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4102 N ROXBORO ST, DURHAM, NC 27704-2122
(919) 595-2000
(919) 595-2190
Mailing address
4102 N ROXBORO ST, DURHAM, NC 27704-2122
(919) 595-2000
(919) 595-2190
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2006-00474
NC
207W00000X
Ophthalmology Physician
TL28671
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006-00474
NC MEDICAL LICENSE
NC
01
—
TL28671
SC MEDICAL LICENSE
SC
Enumeration date
04/19/2006
Last updated
09/22/2009
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