Individual
DR. SAMUEL LIVAUDOIS SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1513 UNION AVE, SUITE 2300, MOBERLY, MO 65270-9407
(660) 263-8309
(660) 263-1948
Mailing address
2500 NORTH STATE STREET, JMM SUITE 2525, JACKSON, MS 39216-3921
(601) 815-9528
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20478
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04329316
—
MS
05
—
207268004
—
MO
Enumeration date
07/05/2005
Last updated
06/13/2024
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