Individual
DR. EVAN NICHOLAS SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1223 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 777-9950
(928) 777-9975
Mailing address
1223 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 777-9950
(928) 777-9975
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
0787
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
923024
—
AZ
Enumeration date
07/11/2011
Last updated
06/21/2016
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