NPI | 1285004598 |
---|---|
Doing Business As | SSM HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | BRIDGET EDER Provider Enrollment Specialist 636-498-5944 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
Enumeration Date | 2015-09-29 |
Last Update Date | 2018-10-19 |