Organization
SSM MEDICAL GROUP INC.
Active
Parent organization
SSM MEDICAL GROUP INC.
Other names
SSM Health Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM MEDICAL GROUP INC.
Authorized official
KAREN REWERTS (VP FINANCIAL OPERATIONS)
(314) 989-2034
Entity
Organization
Contact information
Practice address
12255 DE PAUL DR, SUITE 500, BRIDGETON, MO 63044
(314) 209-5180
(314) 209-5153
Mailing address
3221 MCKELVEY RD STE 301, BRIDGETON, MO 63044-2551
(636) 498-5944
(314) 209-8127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
213E00000X
Podiatrist
—
MO
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
08/18/2020
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