| NPI | 1467462010 |
|---|---|
| Doing Business As | SSM HEALTH MEDICAL GROUP - FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ROBERT V. VANCONIA President/CEO 573-582-8108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2015-05-08 |