Individual
DR. SAM RAY SIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 ST. MARY'S MEDICAL PLAZA, JEFFERSON CITY, MO 65101
(573) 761-7011
(573) 636-4819
Mailing address
200 FAWN MEADOWS DR, LINN CREEK, MO 65052-2215
(573) 346-5256
(573) 346-5256
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
108182
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108182
MISSOURI MEDICAL LICENSE
MO
01
—
31881
BNDD NUMBER
MO
Enumeration date
02/09/2007
Last updated
03/07/2023
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