Organization
DOC IN A BOX LLC
Active
Other names
Simmons Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT PATRICK SIMMONS M.D. (OWNER)
(573) 581-2348
Entity
Organization
Contact information
Practice address
1000 WEBSTER STREET, SUITE 101, MEXICO, MO 65265
(573) 581-2348
(573) 581-9447
Mailing address
1000 WEBSTER STREET, SUITE 101, MEXICO, MO 65265-3298
(573) 581-2348
(573) 581-9447
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2009007879
MO
261QR1300X
Rural Health Clinic/Center
2009007879
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505616706
—
MO
Enumeration date
05/20/2011
Last updated
12/07/2015
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