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Individual

PETER OTTO SIMON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6060 PIEDMONT ROW DR S STE 200, CHARLOTTE, NC 28287-3888
(704) 787-0057
Mailing address
6060 PIEDMONT ROW DR S STE 200, CHARLOTTE, NC 28287-3888
(704) 705-8602
(877) 531-1009

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101245373
VA
2085R0202X
Diagnostic Radiology Physician
2013-00900
NC
2085R0202X
Diagnostic Radiology Physician
36769
SC
2085R0204X
Vascular & Interventional Radiology Physician
0101245373
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2013-00900
NC
2085R0204X
Vascular & Interventional Radiology Physician
36769
SC

Other

Enumeration date
06/07/2006
Last updated
12/01/2025
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