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
2024 DORSETT VLG, MARYLAND HEIGHTS, MO 63043
(314) 590-0550
(314) 590-0560
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
(636) 498-5973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
MO
213E00000X
Podiatrist
—
MO
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502915705
—
MO
Enumeration date
09/22/2010
Last updated
08/18/2020
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