NPI | 1831101807 |
---|---|
Doing Business As | SSM HEALTH MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | DELAND EVISCHI VP Finance Smgsmg 618-899-1040 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207V00000X Obstetrics & Gynecology | |
207Y00000X Otolaryngology | |
208000000X Pediatrics | |
208600000X Surgery | |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
363A00000X Physician Assistant | |
261QR1300X Clinic/Center, Rural Health | |
Enumeration Date | 2006-08-11 |
Last Update Date | 2015-08-25 |