Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MT10051 | MT |
N | 2080A0000X | Adolescent Medicine | MT10051 | MT |
NPI | 1184634305 |
---|---|
Provider Name | Sandra Simmons |
First Address | Missoula, MT 59808 |
Second Address | Missoula, MT 59804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0047668 | (05) | MT |
G43097 | (02) |