| 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 |