Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A71224 | CA |
N | 111NI0900X | Internist | A71224 | CA |
Y | 207RG0100X | Gastroenterologist | A71224 | CA |
NPI | 1043499478 |
---|---|
Provider Name | Peter William Simpson |
First Address | Mountain View, CA 94040-6201 |
Second Address | Mountain View, CA 94040-2833 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2007 |
Last Update Date | 13/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H72224 | (02) | CA |