Individual
DEMETRIOS NICHOLAS SIMOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 FOWLER WAY, #5, PLACERVILLE, CA 95667
(530) 626-1277
(530) 626-3265
Mailing address
9910 FRANKLIN SQUARE DR, STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
A754450
CA
208800000X
Urology Physician
Primary
D85630
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A754450
—
CA
Enumeration date
09/26/2006
Last updated
06/29/2018
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