Individual
DR. TIMOTHY M SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
906 ROBERTS DR, MONTICELLO, AR 71655-5724
(870) 367-6867
(870) 367-1461
Mailing address
906 ROBERTS DR, MONTICELLO, AR 71655-5724
(870) 367-6867
(870) 367-1461
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2969
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145158001
—
AR
01
—
1927600000
QUALCHOICE
AR
Enumeration date
01/17/2006
Last updated
04/01/2020
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