Organization
CRITICAL CARE MANAGEMENT GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J SIMPSON DO (PRESIDENT)
(314) 921-2250
Entity
Organization
Contact information
Practice address
3533 DUNN RD, SUITE 210, FLORISSANT, MO 63033-6761
(314) 921-2250
Mailing address
3533 DUNN RD, SUITE 210, FLORISSANT, MO 63033-6761
(314) 921-2250
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508336500
—
MO
01
—
DE1800
RR MEDICARE
MO
Enumeration date
05/27/2006
Last updated
10/06/2009
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