Individual
DR. ROGER MICHAEL SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
653 N TOWN CENTER DRIVE, SUITE 518, LAS VEGAS, NV 89144
(702) 369-0200
(702) 243-8383
Mailing address
653 N TOWN CENTER DRIVE, SUITE 518, LAS VEGAS, NV 89144
(702) 369-0200
(702) 243-8383
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4044
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC6531
BCBS ANTHEM
NV
01
—
P00180774
RAILROAD MEDICARE
NV
Enumeration date
06/20/2006
Last updated
07/08/2007
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