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Phyllis Martin-simmerman, MD
Diagnostic Radiology Physician in West Lafayette, Indiana
NPI 1053380774

Phyllis Martin-simmerman is a Diagnostic Radiology Physician based in Muncie, IN and is specialized in Diagnostic Radiology. Phyllis Martin-simmerman practices in West Lafayette, IN and has the professional credentials of MD. The NPI Number for Phyllis Martin-simmerman is 1053380774 and holds a License No. 01029841A (Indiana).

The current practice location address for Phyllis Martin-simmerman is 253 Sagamore Pkwy W, West Lafayette, IN and can be reached out via phone at 765-448-8000 and via fax at 765-448-8335.

Location: 253 Sagamore Pkwy W, West Lafayette, IN, 47303-4988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053380774
Provider Name
Phyllis Martin-simmerman
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
253 Sagamore Pkwy W, West Lafayette, IN, 47303-4988
Phone Number
765-448-8000
Fax Number
765-448-8335
Provider Enumeration Date
03/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100088630 05 IN
9274775 01 IN PHCS PID NUMBER
000000183094 01 IN ANTHEM PROVIDER NUMBER
10825553 01 IN CAQH NUMBER
MA15766030 05 IN
institution
Provider Business Practice Location Address Details
Address
253 Sagamore Pkwy W
City
West Lafayette
State
Indiana
Zip
47906-1501
Phone Number
765-448-8000
Fax Number
765-448-8335
person
Provider Business Mailing Address Details
Address
253 Sagamore Pkwy W
City
West Lafayette
State
Indiana
Zip
47906-1501
Phone Number
765-448-8000
Fax Number
765-448-8335
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
01029841A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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