Ssm Depaul Medical Group, Inc.

NPI #1881605905 in Overland, Missouri

Provider Information

NPI Number: 1881605905
Entity Type: Organization
Organization Name: Ssm Depaul Medical Group, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Aug 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 9068 OVERLAND PLZ
City: Overland
State: Missouri
ZIP Code: 63114-6122
Phone: (314) 423-9000

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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