Individual
DEAN SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4838 S LEROY AVE, SPRINGFIELD, MO 65810-1330
(417) 300-1022
Mailing address
4838 S LEROY AVE, SPRINGFIELD, MO 65810-1330
(417) 300-1022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2013032315
MO
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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