Organization
SIGNATURE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD SACKMAN (CEO)
(314) 849-0311
Entity
Organization
Contact information
Practice address
1011 BOWLES AVE STE 100, FENTON, MO 63026-2387
(314) 849-0311
(314) 849-4423
Mailing address
12639 OLD TESSON RD, SUITE 115, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
08/08/2024
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