Organization
SIMPELO MEDICAL CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSTICO V SIMPELO M.D. (PRESIDENT/PHYSICIAN)
(573) 438-5408
Entity
Organization
Contact information
Practice address
108 FRIZZELL, SUITE 6, POTOSI, MO 63664
(573) 438-5408
(573) 438-2419
Mailing address
108 FRIZZELL, SUITE 6, POTOSI, MO 63664
(573) 438-5408
(573) 438-2419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33913
MO
Other
Enumeration date
01/22/2008
Last updated
06/09/2008
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