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Individual

ZACHARY SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 233-4082
Mailing address
PO BOX 854, MC A410, HERSHEY, PA 17033-0854
(800) 233-4082

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
MD046572L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012806240001
PA
Enumeration date
05/04/2006
Last updated
12/29/2009
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