Organization
SSM MEDICAL GROUP
Active
Other names
Preferred Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
LESA SCHNARR (DIRECTOR)
(314) 951-5330
Entity
Organization
Contact information
Practice address
4116 VON TALGE RD, SAINT LOUIS, MO 63128-1957
(314) 815-3331
(314) 815-3703
Mailing address
4116 VON TALGE RD, SAINT LOUIS, MO 63128-1957
(314) 815-3331
(314) 815-3703
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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