Individual
JOHN PAUL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 COTTONWOOD DR, ALAMOGORDO, NM 88310-8219
(505) 434-0901
(505) 437-1992
Mailing address
108 COTTONWOOD DR, ALAMOGORDO, NM 88310-8219
(505) 434-0901
(505) 437-1992
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
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