# SSM MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clayton Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144430281
- **Authorized official:** MR. RONALD DEAN PIERSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (314) 951-5520

## Contact information

- **Practice address:** 1035 BELLEVUE AVE, SUITE 500, SAINT LOUIS, MO 63117-1854
- **Practice address phone:** (314) 647-1115
- **Practice address fax:** (314) 544-1209
- **Mailing address:** 7980 CLAYTON RD, SUITE 202, SAINT LOUIS, MO 63117-1354
- **Mailing address phone:** (314) 951-5368
- **Mailing address fax:** (314) 951-5238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 11/27/2007