Individual
DR. SAMUEL K SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1121
Mailing address
3250 SE 164TH AVE STE 205, VANCOUVER, WA 98683-9313
(360) 946-4313
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
129513
MT
207RG0100X
Gastroenterology Physician
77301
AZ
207RG0100X
Gastroenterology Physician
EMC0004965
MI
207RG0100X
Gastroenterology Physician
MD-12112
HI
207RG0100X
Gastroenterology Physician
Primary
MD00032743
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000237701
HMSA BILLING NUMBER
HI
05
—
519043-01
—
HI
05
—
8179897
—
WA
Enumeration date
09/24/2006
Last updated
07/07/2025
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