Individual
JOHN PAUL SIMMONS
Active
Individual
JOHN PAUL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2001-311
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130026146
RR MEDICARE
NM
01
—
50662
PRESBYTERIAN
NM
01
—
88310A003
WPS TRICARE
NM
01
—
NM019849
BC/BS
NM
05
—
P7672
—
NM
Enumeration date
09/14/2005
Last updated
10/17/2016
Update your record
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