Organization
SSM MEDICAL GROUP INC.
Active
Other names
SSM Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA PULLIAM (EXECUTIVE DIRECTOR)
(636) 669-2455
Entity
Organization
Contact information
Practice address
816 S KIRKWOOD RD, SUITE 105, SAINT LOUIS, MO 63122-6056
(314) 686-4990
Mailing address
1551 WALL ST, SUITE 310, SAINT CHARLES, MO 63303-3539
(636) 669-2268
(314) 209-8127
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
MO
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MO
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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