NPI 1043207533
Mark O Simon, MD
Practice location
- Address
- 1650 Cowles St, Fairbanks, AK 99701-5925
- Phone
- (907) 458-5556
- Mailing address
- PO Box 70087, Fairbanks, AK 99707-0087
Registered specialties
Emergency Medical Services (Emergency Medicine) Physician
Primary
Registry record
- NPI
- 1043207533
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Sep 2005
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.