| NPI | 1780688671 |
|---|---|
| Doing Business As | SSM HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DEE EVISCHI VP Finance Medical Group 618-899-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: IL 0002642) |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2015-08-26 |