Organization
JAMES H SIMONDS DPM PC
Active
Other names
SIMONDS FOOT & ANKLE CLINICS
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HAROLD SIMONDS DPM (PRESIDENT)
(269) 381-9060
Entity
Organization
Contact information
Practice address
126 E KILGORE RD, PORTAGE, MI 49002-0598
(269) 381-9060
(269) 381-1336
Mailing address
126 E KILGORE RD, PORTAGE, MI 49002-0598
(269) 381-9060
(269) 381-1336
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
001178
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001178
STATE LICENSE
MI
01
—
DN0165
RAILROAD MEDICARE PART B
MI
01
—
OC96248
BLUE CROSS BLUE SHIELD
MI
01
—
OC962487482
MEDICARE GROUP
MI
Enumeration date
09/11/2007
Last updated
07/17/2008
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