Individual
MR. CHAD EDWARD SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(985) 981-6472
Mailing address
PO BOX 1464, 600 CHRISTOPHER LN, AMITE, LA 70422-1464
(985) 981-6472
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200662
LA
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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