SSM DEPAUL MEDICAL GROUP

SAINT CHARLES, MO
NPI1891123477
Entity TypeOrganization
Authorized ContactLAURA PULLUM
Director
636-669-2434
Organization Subpart ?No
Primary Taxonomy213E00000X Podiatrist
(Licence: MO  2004019662)
Additional Taxonomies207QA0505X Family Medicine, Adult Medicine
Enumeration Date2013-10-17
Last Update Date2013-10-17
Business Address
SSM DEPAUL MEDICAL GROUP
1551 WALL ST SUITE 400
SAINT CHARLES, MO 63303-3539
Phone number: 636-669-2420
Mailing Address
SSM DEPAUL MEDICAL GROUP
1551 WALL ST SUITE 310
SAINT CHARLES, MO 63303-3539
Phone number: 636-669-2268