Individual
BRIAN E SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 MERCY DR NW STE 101, CANTON, OH 44708-2624
(330) 588-4676
(330) 588-4677
Mailing address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35.062486
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0851869
—
OH
01
—
110085842
MEDICARE RAILROAD
—
Enumeration date
06/14/2006
Last updated
06/24/2021
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