Individual
ERIC L SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(352) 867-8898
(352) 732-6282
Mailing address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
(719) 365-2837
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
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