Mark O Simon
Emergency Medical Services
1650 Cowles St
Fairbanks
, Alaska 99701-5925
Mark O Simon
Emergency Medical Services
1650 Cowles St
Fairbanks
, Alaska 99701-5925
(907) 460-6667
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Mark O Simon
- Po Box 70087
- Fairbanks, AK
- Zip : 99707-0087
- Phone : (907) 460-6667
Second Address
- Mark O Simon
- 1650 Cowles St
- Fairbanks, AK
- Zip : 99701-5925
- Phone : (907) 458-5556
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 4813 | AK |
National Provider Identifier
| NPI | 1043207533 |
|---|---|
| Provider Name | Mark O Simon |
| First Address | Fairbanks, AK 99707-0087 |
| Second Address | Fairbanks, AK 99701-5925 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H13781 | (02) | |
| MD2451 | (05) | AK |
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.