Organization
DAVID N. SIM, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID NEIL SIM M.D.,P.A. (CARDIOLOGIST)
(208) 376-8666
Entity
Organization
Contact information
Practice address
6014 W EMERALD ST, BOISE, ID 83704-8855
(208) 376-8666
(208) 376-9804
Mailing address
6014 W EMERALD ST, BOISE, ID 83704-8855
(208) 376-8666
(208) 376-9804
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
M3561
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010001844
BLUE SHIELD
ID
05
—
002451500
—
ID
01
—
35618
BLUE CROSS
ID
Enumeration date
10/27/2005
Last updated
10/01/2015
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