| 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 |