Individual
DR. JOHN MICHAEL SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 MAPLE AVE, NW MOB SUITE 200, RICHMOND, VA 23226-2553
(804) 285-2300
(804) 285-8420
Mailing address
PO BOX 71690, RICHMOND, VA 23255-1690
(804) 285-2300
(804) 285-8420
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
0101047067
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006451675
—
VA
01
—
200008627
GEORGIA RR MEDICARE
—
01
—
227691
ANTHEM
VA
Enumeration date
05/17/2006
Last updated
08/14/2019
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