Individual
PAUL D SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
669 SERENITY CT, GRAND JUNCTION, CO 81505-4836
(970) 314-1018
Mailing address
669 SERENITY CT, GRAND JUNCTION, CO 81505-4836
(970) 314-1018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR38866
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01131885
—
CO
Enumeration date
06/09/2006
Last updated
07/09/2014
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