Individual
DR. CHAD MICHAEL SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 DUNN ST, HOUMA, LA 70360-4705
(985) 872-0423
Mailing address
505 DUNN ST, HOUMA, LA 70360-4705
(985) 872-0423
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD.203774
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2796416797
MYUTMB 2796416797-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
06/10/2010
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