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Individual

SCOTT SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11445 OLIVE BLVD, CREVE COEUR, MO 63141-7108
(314) 428-9543
(314) 428-9542
Mailing address
11445 OLIVE BLVD, CREVE COEUR, MO 63141-7108
(314) 428-9543
(314) 428-9542

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2009007879
MO
207Q00000X
Family Medicine Physician
Primary
2009007879
MO

Other

Enumeration date
05/15/2007
Last updated
12/05/2022
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