Organization
SSM CARDIOVASCULAR AND THORACIC SERVICES, INC.
Active
Parent organization
SSM CARDIOVASCULAR AND THORACIC SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SSM CARDIOVASCULAR AND THORACIC SERVICES, INC.
Authorized official
MR. MARK RENKEN (VICE PRESIDENT)
(314) 989-2160
Entity
Organization
Contact information
Practice address
12255 DE PAUL DR, SUITE 445, BRIDGETON, MO 63044-2510
(314) 647-8269
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
04/04/2008
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