Individual
CONNIE D SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11365 DORSETT RD., MARYLAND HEIGHTS, MO 63043
(314) 872-6430
(314) 872-6500
Mailing address
11365 DORSETT RD., MARYLAND HEIGHTS, MO 63043
(314) 872-6430
(314) 872-6500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
104168
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
104168
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207648007
—
MO
Enumeration date
09/20/2006
Last updated
03/19/2009
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