Individual
DANIEL B SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1072 N LIBERTY ST STE 303, BOISE, ID 83704
(208) 302-4200
(208) 302-4255
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642
(208) 302-4200
(208) 302-4255
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M-15021
ID
2084N0400X
Neurology Physician
R7892
TX
Other
Enumeration date
05/11/2012
Last updated
07/24/2020
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