Individual
DR. ROGER D SIMONS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MAIN PL, SUITE #3, FLIPPIN, AR 72634
(870) 453-2274
(870) 453-2276
Mailing address
PO BOX 550, FLIPPIN, AR 72634-0550
(870) 453-2274
(870) 453-2276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R2472
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02667800001
DMERC REGION C
—
Enumeration date
08/22/2005
Last updated
07/08/2007
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