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Individual

MR. ANTHONY SIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ABOC

Contact information

Practice address
220 W PLUM ST STE 310, EDINBORO, PA 16412-2166
(814) 580-4176
(814) 580-4176
Mailing address
220 W PLUM ST STE 310, EDINBORO, PA 16412-2166
(814) 580-4176
(814) 580-4176

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
138298
PA

Other

Enumeration date
11/05/2015
Last updated
12/21/2015
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