Ssm Medical Group

NPI #1275781288 in Fenton, Missouri

Provider Information

NPI Number: 1275781288
Entity Type: Organization
Organization Name: Ssm Medical Group
Primary Specialty: Family Medicine
Enumeration Date: Sep 3, 2008
Last Updated: Jul 8, 2009

Practice Location

Address: 1011 BOWLES AVE
Address 2: SUITE 300
City: Fenton
State: Missouri
ZIP Code: 63026-2387
Phone: (636) 496-5000

Authorized Official

Name: JAMES E BIESER
Title: EXECUTIVE DIRECTOR
Phone: (314) 822-5900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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