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Individual

SIMON PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2335 E KASHIAN LN STE 280, FRESNO, CA 93701-2211
(559) 320-1090
(559) 320-0331
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C51044
CA
207RI0200X
Infectious Disease Physician
Primary
C51044
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C510440
CA
Enumeration date
08/29/2006
Last updated
11/05/2019
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