Organization
SSM DEPAUL MEDICAL GROUP, INC.
Active
Other names
Family Medicine at Overland
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA LYNN PULLUM (DIRECTOR OF PATIENT ACCOUNTS)
(314) 209-8121
Entity
Organization
Contact information
Practice address
9068 OVERLAND PLZ, OVERLAND, MO 63114-6122
(314) 423-9000
(314) 423-7035
Mailing address
9068 OVERLAND PLZ, OVERLAND, MO 63114-6122
(314) 423-9000
(314) 423-7035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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