Individual
DR. SHARONELLE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3337 N MILLER RD, STE 103, SCOTTSDALE, AZ 85251-6496
(480) 949-1182
Mailing address
3337 N MILLER RD, STE 103, SCOTTSDALE, AZ 85251-6496
(480) 949-1182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13628
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D0529742
CLIA
AZ
01
—
1Z7430
HEALTHNET INS. CO.
AZ
01
—
2569417
AETNA
AZ
01
—
860465646
ALL OTHER INS CO.
AZ
01
—
AZ0071880
BCBS OF AZ
AZ
Enumeration date
04/10/2006
Last updated
08/06/2019
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