| NPI | 1669856829 |
|---|---|
| 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 |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2025-05-13 |