Organization
SSM MEDICAL GROUP INC.
Active
Other names
SSM Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN REWERTS (VP FINANCIAL OPERATIONS)
(314) 989-2034
Entity
Organization
Contact information
Practice address
1011 BOWLES AVE, SUITE 400, FENTON, MO 63026-2395
(636) 496-5030
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
08/18/2020
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