Individual
DR. DAVID NICHOLAS SIMCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
586 OAK HILL RD, WILLISTON, VT 05495-7134
(802) 878-8131
(802) 879-6853
Mailing address
586 OAK HILL RD, WILLISTON, VT 05495-7134
(802) 878-8131
(802) 879-6853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02002376
IN
207Q00000X
Family Medicine Physician
Primary
0320000562
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0320000562
STATE LICENSE
VT
01
—
270890200
PASSPORT ADVANTAGE
—
01
—
P00322426
RAILROAD MEDICARE
—
Enumeration date
11/23/2005
Last updated
08/17/2021
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