Organization
JR SIMONSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R SIMONSON MD (OWNER)
(405) 696-8201
Entity
Organization
Contact information
Practice address
3705 NW 63RD ST STE 100, OKLAHOMA CITY, OK 73116-1937
(405) 696-8201
(903) 787-5854
Mailing address
13919B N MAY AVE # 212, OKLAHOMA CITY, OK 73134-5035
(888) 991-1101
(903) 787-5854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200349610A
—
OK
01
—
DS0199
RR MEDICARE
OK
Enumeration date
08/23/2011
Last updated
07/21/2021
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