Ssm Depaul Medical Group, Inc.

NPI #1760456743 in Maryland Heights, Missouri

Provider Information

NPI Number: 1760456743
Entity Type: Organization
Organization Name: Ssm Depaul Medical Group, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Feb 15, 2006
Last Updated: Jan 15, 2016

Practice Location

Address: 2024 DORSETT VLG
City: Maryland Heights
State: Missouri
ZIP Code: 63043-2208
Phone: (314) 590-0550

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Internal Medicine - Rheumatology — Rheumatology	207RR0500X
Neurological Surgery	207T00000X
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X
General Practice	208D00000X
Internal Medicine	207R00000X	Primary

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