Organization
SSM REGIONAL HEALTH SERVICES
Active
Parent organization
SSM REGIONAL HEALTH SERVICES
Other names
St. Marys Cancer Specialist
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM REGIONAL HEALTH SERVICES
Authorized official
BRENT VAN CONIA (PRESIDENT)
(573) 761-7000
Entity
Organization
Contact information
Practice address
200 SAINT MARYS PLZ, STE 202, JEFFERSON CITY, MO 65101-1604
(573) 761-0457
(573) 761-0459
Mailing address
PO BOX 1027, JEFFERSON CITY, MO 65102-1027
(573) 761-7246
(573) 761-6947
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
05/25/2006
Last updated
07/28/2007
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