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Individual

DR. JON SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 101, MOBILE, AL 36617-2300
(251) 445-8282
(251) 445-8281
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
T1975
MS
2086S0102X
Surgical Critical Care Physician
Primary
31054
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08988788
MS
Enumeration date
03/26/2008
Last updated
03/03/2021
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