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Individual

JAMES R SIMONSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3705 NW 63RD ST STE 100, OKLAHOMA CITY, OK 73116-1937
(405) 608-4290
(903) 787-5854
Mailing address
13919B N MAY AVE # 212, OKLAHOMA CITY, OK 73134-5035
(888) 991-1101
(903) 787-5854

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24589
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200073400A
OK
Enumeration date
07/27/2006
Last updated
07/21/2021
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