Individual
IRISH ANNETTE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 S WASHINGTON, SAINT JOHNS, AZ 85936-4400
(928) 321-1965
Mailing address
60 S WASHINGTON, SAINT JOHNS, AZ 85936-4400
(928) 321-1965
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9963312
AZ
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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