Individual
DR. J. MITCHELL SIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2235
(505) 272-3850
(505) 272-8018
Mailing address
1933 BRADBURY DRIVE SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
81-316
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P5388
—
NM
Enumeration date
11/02/2005
Last updated
05/11/2012
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