Organization
SSM CARDIOVASCULAR AND THORACIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK RENKEN (VICE PRESIDENT)
(314) 989-2160
Entity
Organization
Contact information
Practice address
1035 BELLEVUE AVE, SUITE 502, SAINT LOUIS, MO 63117-1854
(314) 647-8269
(314) 646-1700
Mailing address
1035 BELLEVUE AVE, SUITE 502, SAINT LOUIS, MO 63117-1854
(314) 647-8269
(314) 646-1700
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
04/04/2008
Last updated
08/19/2011
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