| Simon Family Medicine, Pllc | |
|
1995 Errecart Blvd Suite 208 Elko NV 89801-8346 | |
| (866) 403-8476 | |
| (866) 374-7518 |
| Full Name | Simon Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1995 Errecart Blvd, Elko, Nevada |
| Authorized Official Name and Position | Ronald David Simon (OWNER) |
| Authorized Official Contact | 6789399665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simon Family Medicine, Pllc 1995 Errecart Blvd Suite 208 Elko NV 89801-8346 Ph: (866) 403-8476 | Simon Family Medicine, Pllc 1995 Errecart Blvd Suite 208 Elko NV 89801-8346 Ph: (866) 403-8476 |
| NPI Number | 1457630568 |
|---|---|
| Provider Enumeration Date | 08/06/2011 |
| Last Update Date | 10/18/2011 |
| Medicare PECOS PAC ID | 6103096011 |
|---|---|
| Medicare Enrollment ID | O20110901000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457630568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ronald Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740266972 PECOS PAC ID: 5294740536 Enrollment ID: I20110901000696 |
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