Individual
JASON HAROLD SIMMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4935 W ARLINGTON RD, BLOOMINGTON, IN 47404-1187
(812) 353-3800
(812) 353-3770
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01058963A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200495120
—
IN
Enumeration date
08/31/2006
Last updated
05/19/2025
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