Individual
SIMEON PRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 BELLEVUE AVE STE 305, SAINT LOUIS, MO 63117-1845
(314) 925-4700
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD105478
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206990632
—
MO
Enumeration date
06/30/2006
Last updated
11/20/2020
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