Individual
MR. FORREST LEE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG ACCS, SAINT LOUIS, MO 63110-1003
(314) 362-5298
(888) 824-2176
Mailing address
660 S EUCLID AVE, MSC 8109-43-1160, SAINT LOUIS, MO 63110-1010
(314) 362-5298
(888) 824-2176
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2022010102
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220119753
—
MO
Enumeration date
09/28/2016
Last updated
08/23/2023
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