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Ssm St. Charles Clinic Medical Group, Inc.

NPI #1578670949 in Warrenton, Missouri

Provider Information

NPI Number
1578670949
Entity Type
Organization
Organization Name
Ssm St. Charles Clinic Medical Group, Inc.
Primary Specialty
Family Medicine
Enumeration Date
Aug 23, 2006
Last Updated
Jan 15, 2016

Practice Location

Address
722 N HIGHWAY 47
Address 2
SUITE B
City
Warrenton
State
Missouri
ZIP Code
63383-1108
Phone
(636) 456-3413

Authorized Official

Name
MS. LAURA PULLUM
Title
BILLING MANAGER
Phone
(636) 669-2434

Specialties & Taxonomy Codes

Specialty
Family Medicine

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