Individual
DR. CHARLES W. SIMMONS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4077 5TH AVE, EMERGENCY MEDICINE, SAN DIEGO, CA 92103-2105
(619) 260-7095
Mailing address
4077 5TH AVE, EMERGENCY MEDICINE, SAN DIEGO, CA 92103-2105
(619) 260-7095
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G71866
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G718660
—
CA
Enumeration date
02/09/2006
Last updated
03/03/2008
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