| Ssm Depaul Medical Group, Inc. | |
|
1821 Sherman Dr Saint Charles MO 63303-3984 | |
| (636) 949-8026 | |
| (636) 949-5629 |
| Full Name | Ssm Depaul Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1821 Sherman Dr, Saint Charles, Missouri |
| Authorized Official Name and Position | Laura Lynn Pullum (DIRECTOR OF PATIENT ACCOUNTS) |
| Authorized Official Contact | 3142098121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Depaul Medical Group, Inc. 1821 Sherman Dr Saint Charles MO 63303-3984 Ph: (636) 949-8026 | Ssm Depaul Medical Group, Inc. 1821 Sherman Dr Saint Charles MO 63303-3984 Ph: (636) 949-8026 |
| NPI Number | 1639180631 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639180631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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