Individual
DR. TIMOTHY CLARK SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-1800
(814) 938-1885
Mailing address
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-1800
(814) 938-1885
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD074428L
PA
207Q00000X
Family Medicine Physician
MD074428L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1387757
BLUE SHIELD
PA
01
—
207P00000X
TAXONOMY
PA
05
—
MD074428L
—
PA
01
—
SI1387757
REFERRING ID
PA
Enumeration date
10/02/2006
Last updated
10/16/2012
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