Individual
DR. CRAIG GLENN SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2305 SOUTH 65 HIGHWAY, MARSHALL, MO 65340
(660) 886-7431
(660) 831-3314
Mailing address
113 NE NIGHTSHADE AVE, LEES SUMMIT, MO 64086-8428
(816) 525-0135
(816) 525-1058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001019072
MO
208D00000X
General Practice Physician
2001019072
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245865902
—
MO
05
—
508993300
—
MO
Enumeration date
05/23/2006
Last updated
03/05/2024
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