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Contact Information

SSM HEALTH CARE ST. LOUIS
12303 DE PAUL DR
BRIDGETON, MO63044-2512
 Phone: 314-344-6000
 Fax: 314-344-6840
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SSM HEALTH CARE ST LOUIS · (Female)

NPI Number 1376598599
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2006
Last updated 02/14/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO Medicaid 540494101
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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