Provider Demographics
NPI:1023572088
Name:SIMMONS, TAYLOR DAVID (PA)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:DAVID
Last Name:SIMMONS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5701 E 8TH AVE APT 405
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-4512
Mailing Address - Country:US
Mailing Address - Phone:901-484-4529
Mailing Address - Fax:
Practice Address - Street 1:13402 W COAL MINE AVE STE 230
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-5407
Practice Address - Country:US
Practice Address - Phone:303-730-2167
Practice Address - Fax:303-996-4820
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical