Dominique Simmons

NPI #1447601265 in Indianapolis, Indiana

Provider Information

NPI Number: 1447601265
Entity Type: Individual
Name: Dominique Simmons
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 22, 2016
Last Updated: Jun 22, 2016

Practice Location

Address: 5638 E 18TH ST
City: Indianapolis
State: Indiana
ZIP Code: 46218-5017
Phone: (317) 602-7160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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