FRANK TOLIS SIMON MD

Allergy and Immunology

Louisville, Kentucky

Provider NPI: 1407852221

Provider Information:
 FRANK TOLIS SIMON MD


Practice Location:
2215 PORTLAND AVE  LOUISVILLE, KY 40212 US
Tel: 502-774-8631  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207R00000X	Physicians Internal Medicine	KY	34409
N	207K00000X	Physicians Allergy & Immunology	KY	34409

Other Provider Identifiers:

Issuer	Number	State	Type
ANTHEM	000000202123	KY	01
	64344096	KY	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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