Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 10155 | ND |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 46811 | CO |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 46811 | CO |
NPI | 1457373011 |
---|---|
Provider Name | Michael B Simpson |
First Address | Colorado Springs, CO 80907-4900 |
Second Address | Colorado Springs, CO 80907-4900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 17/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F89284 | (02) |