Individual
ERIC L SIMMONS
Active
Individual
ERIC L SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
00034096
WA
207L00000X
Anesthesiology Physician
042-0012161
VT
207L00000X
Anesthesiology Physician
Primary
ME37096
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001370964
—
CO
01
—
050063147
RAILROAD MEDICARE
CO
01
—
A6638
ANTHEM/BLUE CROSS
CO
Enumeration date
05/15/2006
Last updated
06/15/2012
Update your record
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