| Doctor Name: | DR. CRAIG GLENN SIMONS |
| NPI Number: | 1073568846 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 2001019072 |
| Business Practice Address: | 100 Central St Chillicothe, MO - 646011554 |
| Business Phone Number: | 6606461480 |
| Business Fax Number: | 6607474242 |
| Mailing Address: | 113 Ne Nightshade Ave, LEES SUMMIT |
| State: | MO |
| Postal Code: | 640868428 |
| Phone Number: | 8165250135 |
| Fax Number: | 8165251058 |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 09/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2001019072 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |