Provider Demographics
NPI:1336413335
Name:SIMPKINS, RODNEY MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:MICHAEL
Last Name:SIMPKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:131 MOOREFIELD PL
Mailing Address - Street 2:
Mailing Address - City:SCOTT DEPOT
Mailing Address - State:WV
Mailing Address - Zip Code:25560-9565
Mailing Address - Country:US
Mailing Address - Phone:304-553-8924
Mailing Address - Fax:304-757-3534
Practice Address - Street 1:131 MOOREFIELD PL
Practice Address - Street 2:
Practice Address - City:SCOTT DEPOT
Practice Address - State:WV
Practice Address - Zip Code:25560-9565
Practice Address - Country:US
Practice Address - Phone:304-553-8924
Practice Address - Fax:304-757-3534
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV15421207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine