Individual
DR. MARK STUART SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3870 W. RIVER RD, #126, TUSCON, AZ 85741
(520) 219-6616
(970) 266-3660
Mailing address
6531 W. ANTLER BEND PL, MARANA, AZ 85658
(970) 213-8123
(970) 266-3660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37923
CO
208000000X
Pediatrics Physician
37923
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110198245
RR MEDICARE PIN
CO
05
—
81353871
—
CO
Enumeration date
09/14/2006
Last updated
09/26/2024
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