Organization
BECKY SIMPSON, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BECKY A SIMPSON MD (OWNER/PRESIDENT)
(573) 302-1604
Entity
Organization
Contact information
Practice address
1029 NICHOLS RD STE A, OSAGE BEACH, MO 65065-3008
(573) 302-1604
(573) 302-1610
Mailing address
1029 NICHOLS RD STE A, OSAGE BEACH, MO 65065-3008
(573) 302-1604
(573) 302-1610
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R1F29
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100722
BLUE CROSS BLUE SHIELD
MO
01
—
160026779
RR MEDICARE
MO
05
—
202803805
—
MO
Enumeration date
10/11/2007
Last updated
07/21/2010
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