Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | MD-46052 | IA |
NPI | 1033537923 |
---|---|
Provider Name | Brittany A Simmons |
First Address | Iowa City, IA 52242-1009 |
Second Address | Detroit, MI 48202-2608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2014 |
Last Update Date | 13/07/2021 |