Individual
MR. GARY MICHAEL SIMPSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
658 BOULTON ST, SUITE A, BEL AIR, MD 21014-4214
(410) 638-9400
(410) 638-9001
Mailing address
9010 KATIE CT, PORT TOBACCO, MD 20677-2030
(240) 682-9837
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00259
MD
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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