| NPI | 1770789984 |
|---|---|
| Doing Business As | SSM MEDICAL GROUP DBA JOSEPH C. RUDOLPH, M.D. |
| Entity Type | Organization |
| Authorized Contact | DEBORAH B. REICHARDT Office Manager 636-225-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |