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Individual

MATTHEW E SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
761 S HICKORY TER, SPRINGFIELD, MO 65809-1105
(417) 894-6536
Mailing address
761 S HICKORY TER, SPRINGFIELD, MO 65809-1105

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2009027536
MO
2086S0102X
Surgical Critical Care Physician
Primary
2009027536
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003020116
MO
05
207157405
MO
Enumeration date
05/09/2007
Last updated
01/30/2024
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