Individual
DR. SHAUN SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1355 S HIGLEY RD STE 112, GILBERT, AZ 85296-4799
(480) 579-3830
(480) 447-8868
Mailing address
1355 S HIGLEY RD STE 112, GILBERT, AZ 85296-4799
(480) 579-3830
(480) 447-8868
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0739
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711698
—
AZ
Enumeration date
06/30/2009
Last updated
11/01/2017
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