Individual
PAUL B SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O., M.S.S.A
Contact information
Practice address
255 SPENCER RD, SUITE 201, SAINT PETERS, MO 63376-2494
(636) 939-2550
(636) 939-2551
Mailing address
255 SPENCER RD, SUITE 201, SAINT PETERS, MO 63376-2494
(636) 939-2550
(636) 939-2551
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2005019115
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275618217
—
MO
Enumeration date
10/26/2006
Last updated
04/04/2012
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