| NPI | 1396886065 |
|---|---|
| Doing Business As | SSM HEALTH MEDICAL GROUP - FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SHASTA RENE MANUEL Regional Vice President Finance/CFO 405-272-7282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2025-05-13 |