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Individual

TIMOTHY C SIMPLOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
105 VALLEY WEST DR, STE 100, WEST DES MOINES, IA 50265-3902
(515) 223-4368
(515) 453-2368
Mailing address
105 VALLEY WEST DR, STE 100, WEST DES MOINES, IA 50265-3902
(515) 223-4368
(515) 453-2368

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
32861
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0190975
IA
Enumeration date
05/02/2006
Last updated
05/07/2015
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