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Individual

DR. PHILLIP NEAL SIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
110 POLARIS PKWY, SUITE 250, WESTERVILLE, OH 43082-8024
(614) 865-4800
(614) 865-4900
Mailing address
110 POLARIS PKWY, SUITE 250, WESTERVILLE, OH 43082-8024
(614) 865-4800
(614) 865-4900

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35084614
OH
208000000X
Pediatrics Physician
35084614
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2545419
OH
Enumeration date
07/28/2006
Last updated
04/29/2021
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