Organization
SSM MEDICAL GROUP
Active
Organization
SSM MEDICAL GROUP
Active
Other names
St. Louis Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD D PIERSON (EXECUTIVE DIRECTOR)
(314) 238-9100
Entity
Organization
Contact information
Practice address
3555 SUNSET OFFICE DR, SUITE C-100, SAINT LOUIS, MO 63127-1015
(314) 238-9100
(314) 238-9110
Mailing address
7980 CLAYTON RD, SUITE 202, SAINT LOUIS, MO 63117-1354
(314) 951-5368
(314) 951-5238
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501906101
—
MO
Enumeration date
07/23/2006
Last updated
04/29/2008
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