| NPI | 1396782587 |
|---|---|
| Doing Business As | SSM HEALTH MEDICAL GROUP - PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | SHASTA RENE MANUEL Regional Vice President Finance/CFO 405-272-7282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2025-05-13 |