Individual
LARRY SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 MOUNT CARMEL MALL, SUITE 330, COLUMBUS, OH 43222-1553
(614) 434-2400
(614) 434-2499
Mailing address
750 MOUNT CARMEL MALL, STE 110, COLUMBUS, OH 43222-1576
(614) 434-2400
(614) 434-2499
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
35032610
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207574
—
OH
Enumeration date
07/21/2005
Last updated
08/04/2016
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