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Individual

DR. FRED SIMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1564 STEAMBOAT CT, EVERGREEN, CO 80439-9561
(303) 670-3120
(303) 670-3156
Mailing address
1564 STEAMBOAT CT, EVERGREEN, CO 80439-9561
(303) 670-3120
(303) 670-3156

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E8176
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
131581402
TX
Enumeration date
09/25/2013
Last updated
09/25/2013
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