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Individual

DR. STEVE SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1021 W 5TH AVE, GARY, IN 46402-1703
(219) 880-1190
(219) 880-0783
Mailing address
1015 N SHELBY ST, GARY, IN 46403-1446
(219) 938-0923
(219) 938-0923

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01027455
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000087701
ANTHEM PROVIDER ID NO.
IN
05
100430220
IN
Enumeration date
08/15/2006
Last updated
01/09/2012
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