IndividualActive
Juris Simanis, MD
NPI 1417901935 · Sports Medicine (Family Medicine) Physician · Bolivar, MO
Provider details
- NPI number
- 1417901935
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2005018446 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1155 W. Parkview Street
Suite 2d
Bolivar, MO 65613-7800
Phone: (417) 777-2663
Fax: (417) 777-2666
Approximate (ZIP-level) locationGet directions
Mailing address
1500 N Oakland Ave
Bolivar, MO 65613-3011
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2015-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.