Organization
THERESA SIMON MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA SIMON MD (PHYSICIAN)
(304) 675-4912
Entity
Organization
Contact information
Practice address
2924 JACKSON AVE, PT PLEASANT, WV 25550-1716
(304) 675-4912
(304) 675-4311
Mailing address
2924 JACKSON AVE, PT PLEASANT, WV 25550-1716
(304) 675-4912
(304) 675-4311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-086077
WV
Other
Enumeration date
08/31/2009
Last updated
09/18/2009
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