# SSM MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Belleville Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619150703
- **Authorized official:** LESA SCHNARR (DIRECTOR)
- **Authorized official phone:** (314) 951-5330

## Contact information

- **Practice address:** 3 PARK PL, SWANSEA, IL 62226-2965
- **Practice address phone:** (618) 222-9244
- **Mailing address:** 7980 CLAYTON RD, SUITE 202, SAINT LOUIS, MO 63117-1354
- **Mailing address phone:** (314) 951-5330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2007
- **Last updated:** 12/11/2007