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 |
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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