Organization
SSM ST. CHARLES CLINIC MEDICAL GROUP, INC.
Active
Other names
SSM Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA PULLUM (BILLING MANAGER)
(636) 699-2434
Entity
Organization
Contact information
Practice address
1475 KISKER RD, SUITE 200, SAINT CHARLES, MO 63304-8781
(636) 498-5850
Mailing address
1551 WALL ST, SUITE 310, SAINT CHARLES, MO 63303-3539
(636) 669-2268
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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