Dr. Evan Nicholas Simonson
Foot and Ankle Orthopaedic Surgeon
1223 Willow Creek Rd
Prescott
, Arizona 86301-1427
Dr. Evan Nicholas Simonson
Foot and Ankle Orthopaedic Surgeon
1223 Willow Creek Rd
Prescott
, Arizona 86301-1427
(928) 777-9975
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About
Features
Specialties
- Foot and Ankle Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Evan Nicholas Simonson
- 1223 Willow Creek Rd
- Prescott, AZ
- Zip : 86301-1427
- Fax : (928) 777-9975
- Phone : (928) 777-9950
Second Address
- Dr. Evan Nicholas Simonson
- 1223 Willow Creek Rd
- Prescott, AZ
- Zip : 86301-1427
- Fax : (928) 777-9975
- Phone : (928) 777-9950
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 0787 | AZ |
National Provider Identifier
| NPI | 1699063743 |
|---|---|
| Provider Name | Dr. Evan Nicholas Simonson |
| First Address | Prescott, AZ 86301-1427 |
| Second Address | Prescott, AZ 86301-1427 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2011 |
| Last Update Date | 21/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 923024 | (05) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.