Individual
DR. ROGER MICHAEL SIMON
Active
Individual
DR. ROGER MICHAEL SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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