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JURIS SIMANIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
JACKSON RIVER INTERNIST, 1 ARH LANE, STE. 300, LOW MOOR, VA 24457
(540) 862-6710
(540) 862-5727
Mailing address
PO BOX 457, 5 E ALVON ROAD, SUITE 7, WHITE SULPHUR SPRINGS, WV 24986-2373
(304) 536-5030
(304) 536-5051

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101024751
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006099467
VA
01
200026
LUNG
01
282211
ANTHEM
VA
01
5258798
CCN
01
5357280
AETNA
01
541839718
C&O
01
54183971800
WV WORKERS COMPENSATION
WV
01
541839718027
BS MOUNTAIN STATE
VA
01
58030
SOUTHERN HEALTH
01
6610094
CIGNA
Enumeration date
06/16/2005
Last updated
10/15/2011
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