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Contact Information

SSM DEPAUL MEDICAL GROUP, INC.
12255 DE PAUL DR
SUITE 830
BRIDGETON, MO63044-2510
 Phone: 314-291-6556
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SSM DEPAUL MEDICAL GROUP, INC.

NPI Number 1154434736
LBN Legal business name SSM DEPAUL MEDICAL GROUP, INC.
Authorized official LAURA PULLUM - (DIRECTOR OF PATIENT ACCOUNTS)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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