Ssm Health Care St Louis

NPI #1275586174 in Fenton, Missouri

Provider Information

NPI Number: 1275586174
Entity Type: Organization
Organization Name: Ssm Health Care St Louis
Subpart: Yes (part of a larger organization)
Parent Organization: SSM HEALTH CARE ST. LOUIS
Primary Specialty: Emergency Medicine
Enumeration Date: May 19, 2006
Last Updated: Mar 12, 2019

Practice Location

Address: 1015 BOWLES AVENUE
City: Fenton
State: Missouri
ZIP Code: 63026
Phone: (636) 496-2502

Authorized Official

Name: MS. SHARON R. DUDLEY
Title: EVP/COO
Phone: (314) 768-8032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Emergency Medicine	207P00000X	Primary

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