Organization
PETER W. SIMONEAUX, MD, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER W SIMONEAUX M.D. (PRESIDENT/OWNER)
(985) 845-1674
Entity
Organization
Contact information
Practice address
1011 S TYLER ST, COVINGTON, LA 70433-3631
(985) 845-1674
(501) 421-6274
Mailing address
1011 S TYLER ST, COVINGTON, LA 70433-3631
(985) 845-1674
(501) 421-6274
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
018423
LA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
018423
LA
Other
Enumeration date
10/17/2006
Last updated
10/31/2007
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