Provider Demographics
NPI:1427049485
Name:SIMONS, WILLIAM HAROLD (DPM)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HAROLD
Last Name:SIMONS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-2136
Mailing Address - Country:US
Mailing Address - Phone:606-434-1421
Mailing Address - Fax:603-434-0309
Practice Address - Street 1:4 BIRCH ST
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038
Practice Address - Country:US
Practice Address - Phone:606-434-1421
Practice Address - Fax:603-434-0309
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0160213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist