# ST.JOSEPH HEALTH CENER WOMENS AND CHILDRENS SERVICES CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physicians of SSM St. Louis
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013057686
- **Authorized official:** MRS. DIANNE P BARRY (NETWORK VICE PRESIDENT)
- **Authorized official phone:** (314) 989-2180

## Contact information

- **Practice address:** 300 MEDICAL PLZ STE 221, LAKE ST LOUIS, MO 63367-1483
- **Practice address phone:** (636) 561-2229
- **Practice address fax:** (636) 625-5288
- **Mailing address:** 300 MEDICAL PLZ STE 221, LAKE ST LOUIS, MO 63367-1483
- **Mailing address phone:** (636) 561-2229
- **Mailing address fax:** (636) 625-5288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 08/22/2020