Whalio Doctors

NPI 1043207533

Mark O Simon, MD

Practitioner Emergency Medical Services (Emergency Medicine) Physician Fairbanks, AK

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
Allopathic & Osteopathic Physicians Taxonomy 207PE0004X Licence 4813 (AK)

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.