Individual
DAVID H SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1425 W RIVER ST, BOISE, ID 83702-6861
(208) 342-2087
(208) 336-1954
Mailing address
1605 S KIMBALL AVE, SUITE 205, CALDWELL, ID 83605-4548
(208) 455-1400
(208) 455-1449
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA267
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010136818
BLUE SHIELD
ID
01
—
A2286
BLUE CROSS
ID
Enumeration date
08/20/2006
Last updated
07/09/2007
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