Doctor Name: | PETER T SIMONIAN |
NPI Number: | 1679571624 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 6121 N Thesta St Suite 114 Fresno, CA - 937108603 |
Business Phone Number: | 5594397633 |
Business Fax Number: | 5594397631 |
Mailing Address: | Po Box 28921, FRESNO |
State: | CA |
Postal Code: | 937298921 |
Phone Number: | 5592284200 |
Fax Number: | 5592243920 |
NPI Enumeration Date: | 07/13/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |