| NPI | 1336350214 |
|---|---|
| Doing Business As | SSM HEALTH MEDICAL GROUP- PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JAMES T STRATTON Regional CFO 573-681-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2018-09-17 |