Individual
EDWARD SIMON
Active
Individual
EDWARD SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5686
NV
207R00000X
Internal Medicine Physician
Primary
MD60604626
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016158
—
NV
01
—
11041825
CAQH
—
Enumeration date
01/09/2006
Last updated
03/24/2016
Update your record
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