Individual
ROBERT W. SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1919 W US HIGHWAY 50, PUEBLO, CO 81008-1618
(719) 253-7102
(719) 253-7114
Mailing address
1919 W US HIGHWAY 50, PUEBLO, CO 81008-1618
(719) 253-7102
(719) 253-7114
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
CO 1849
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82280771
—
CO
Enumeration date
01/30/2006
Last updated
02/05/2021
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