| NPI | 1891088001 |
|---|---|
| Doing Business As | SIMMONS FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SCOTT PATRICK SIMMONS Owner 573-581-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MO 2009007879) |
| Additional Taxonomies | 261QR1300X Clinic/Center Rural Health (Licence: MO 2009007879) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2015-12-07 |