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Organization
SSM HEALTH CARE GROUP
Active
Organization
SSM HEALTH CARE GROUP
Active
Other names
SLUCare Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN M LAMM (VICE PRESIDENT - FINANCE)
(314) 994-6219
Entity
Organization
Contact information
Practice address
1402 S GRAND BLVD RM 463, SAINT LOUIS, MO 63104-1004
(314) 577-8475
(314) 268-5478
Mailing address
PO BOX 954467, SAINT LOUIS, MO 63195-4467
(314) 617-3508
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
NULL
207ZC0500X
Cytopathology Physician
—
—
207ZI0100X
Immunopathology Physician
—
NULL
207ZI0100X
Immunopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
02/19/2025
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