Organization
SSM MEDICAL GROUP
Active
Other names
Maryville Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
LESA SCHNARR (DIRECTOR)
(314) 951-5330
Entity
Organization
Contact information
Practice address
6828 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 288-5084
Mailing address
7980 CLAYTON RD, SUITE 202, SAINT LOUIS, MO 63117-1354
(314) 951-5368
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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