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RANDON CALVIN SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
112 HILLVUE DRIVE, BUTLER, PA 16001-3498
(724) 287-0791
(724) 287-2730
Mailing address
170 WINTERS ROAD, BUTLER, PA 16002
(724) 285-5473
(724) 234-2234

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD017420E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
054852
HIGHMARK
PA
Enumeration date
07/11/2006
Last updated
07/08/2007
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