Provider Demographics
NPI:1932140290
Name:SIM, DANIEL CLAMOR (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CLAMOR
Last Name:SIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4715 W CROSBY CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-6715
Mailing Address - Country:US
Mailing Address - Phone:509-328-2649
Mailing Address - Fax:
Practice Address - Street 1:4815 NORTH ASSEMBLY RD
Practice Address - Street 2:SPOKANE VAMC
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205
Practice Address - Country:US
Practice Address - Phone:509-434-7000
Practice Address - Fax:509-434-7129
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00046112207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine