NPI | 1548578750 |
---|---|
Doing Business As | SSM HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | BRIDGET EDER Provider Enrollment Specialist 636-669-2268 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
207RR0500X Internal Medicine Rheumatology | |
207V00000X Obstetrics & Gynecology | |
213E00000X Podiatrist | |
Enumeration Date | 2010-09-22 |
Last Update Date | 2018-07-16 |