Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 2009027536 | MO |
N | 208600000X | Surgeon | 2009027536 | MO |
Y | 2086S0102X | Surgical Critical Care | 2009027536 | MO |
NPI | 1003020116 |
---|---|
Provider Name | Matthew E Simpson |
First Address | Springfield, MO 65807-5155 |
Second Address | Springfield, MO 65807-5155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 27/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003020116 | (05) | MO |
207157405 | (05) | MO |