Provider Demographics
NPI:1013028273
Name:SIMMONS, WILLIAM DOUGLAS (BS, CNMT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:DOUGLAS
Last Name:SIMMONS
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Gender:M
Credentials:BS, CNMT
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Mailing Address - Street 1:201 UNIVERSITY BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-4657
Mailing Address - Country:US
Mailing Address - Phone:720-941-6428
Mailing Address - Fax:
Practice Address - Street 1:201 UNIVERSITY BLVD
Practice Address - Street 2:STE 200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-4657
Practice Address - Country:US
Practice Address - Phone:720-941-6428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO0086942471N0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine Technology