Organization
SSM NEUROSCIENCES, INC.
Active
Other names
SSM Health Neurosciences
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA PULLIAM (EXECUTIVE DIRECTOR)
(636) 669-2455
Entity
Organization
Contact information
Practice address
225 PHYSICIANS PARK, SUITE 102, POPLAR BLUFF, MO 63901-3935
(636) 496-3900
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
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
02/26/2016
Last updated
03/28/2016
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