Provider Demographics
NPI:1275287419
Name:SIMKINS, MASON D (PA-C)
Entity Type:Individual
Prefix:MR
First Name:MASON
Middle Name:D
Last Name:SIMKINS
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:260 FALLS AVE STE D
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-3370
Mailing Address - Country:US
Mailing Address - Phone:208-733-6700
Mailing Address - Fax:208-733-0803
Practice Address - Street 1:260 FALLS AVE STE D
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-3370
Practice Address - Country:US
Practice Address - Phone:208-733-6700
Practice Address - Fax:208-733-0803
Is Sole Proprietor?:No
Enumeration Date:2022-02-07
Last Update Date:2022-02-07
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical