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
1120 SHACKELFORD RD, FLORISSANT, MO 63031
(314) 921-4420
(314) 921-6086
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RR0500X
Rheumatology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
08/18/2020
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