Individual
RICHARD D SIMON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 W POPLAR, WALLA WALLA, WA 99362
(509) 522-5946
(509) 522-5744
Mailing address
PO BOX 1477, WALLA WALLA, WA 99362-0312
(509) 522-5815
(509) 522-5818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00018852
WA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD00018852
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8483406
—
WA
Enumeration date
07/28/2006
Last updated
03/05/2021
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