Simpelo Medical Clinic, P.c.

NPI #1932385952 in Potosi, Missouri

Provider Information

NPI Number: 1932385952
Entity Type: Organization
Organization Name: Simpelo Medical Clinic, P.c.
Primary Specialty: Internal Medicine
Enumeration Date: Jan 22, 2008
Last Updated: Jun 9, 2008

Practice Location

Address: 108 FRIZZELL
Address 2: SUITE 6
City: Potosi
State: Missouri
ZIP Code: 63664
Phone: (573) 438-5408

Authorized Official

Name: RUSTICO V SIMPELO, M.D.
Title: PRESIDENT/PHYSICIAN
Phone: (573) 438-5408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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