Ssm Depaul Medical Group, Inc.

NPI #1376554345 in Bridgeton, Missouri

Provider Information

NPI Number: 1376554345
Entity Type: Organization
Organization Name: Ssm Depaul Medical Group, Inc.
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Aug 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 12277 DE PAUL DR
Address 2: SUITE 403
City: Bridgeton
State: Missouri
ZIP Code: 63044-2516
Phone: (314) 344-7585

Authorized Official

Name: MS. LAURA LYNN PULLUM
Title: DIRECTOR OF PATIENT ACCOUNTS
Phone: (314) 209-8121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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