Individual
DR. JUSTIN BRETT SIMS
Active
Individual
DR. JUSTIN BRETT SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01072175A
IN
2085R0202X
Diagnostic Radiology Physician
11013779A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201106880
—
IN
01
—
P01240963
RAILROAD MEDICARE
IN
Enumeration date
06/09/2008
Last updated
01/14/2014
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