Individual
MILES A SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 PARK ROW, SUITE 7, BRUNSWICK, ME 04011
(207) 729-5426
(207) 725-2473
Mailing address
169 PARK ROW, SUITE 7, BRUNSWICK, ME 04011-2039
(207) 729-5426
(207) 725-2473
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
012801
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003576
ANTNEM
—
05
—
234080099
—
ME
01
—
78246
CIGNA
—
01
—
E004219
TRICARE
—
Enumeration date
09/08/2006
Last updated
09/25/2013
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