Individual
DR. TERRILL H SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12455 E 100TH ST N, SUITE 260, OWASSO, OK 74055-4674
(918) 272-9464
(918) 274-5569
Mailing address
4802 S 109TH E AVENUE, TULSA, OK 74146
(918) 392-1400
(918) 392-1488
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9335
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731001289002
BLUE SHIELD OF OKLAHOMA
OK
Enumeration date
03/24/2006
Last updated
11/01/2007
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