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Ssm Health Care St Louis
Vascular Surgery Physician in Fenton, Missouri
NPI 1275586174

Ssm Health Care St Louis is a Vascular Surgery Physician based in Saint Louis, MO and is specialized in Vascular Surgery. Ssm Health Care St Louis practices in Fenton, MO. The NPI Number for Ssm Health Care St Louis is 1275586174 and holds a License No. (Missouri).

The current practice location address for Ssm Health Care St Louis is 1015 Bowles Avenue, Fenton, MO and can be reached out via phone at 636-496-2502.

Location: 1015 Bowles Avenue, Fenton, MO, 63132-2907
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275586174
Provider Name
Ssm Health Care St Louis
Credential
Provider Entity Type
Organization
Address
1015 Bowles Avenue, Fenton, MO, 63132-2907
Phone Number
636-496-2502
Fax Number
Provider Enumeration Date
05/19/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
545011009 05 MO
institution
Provider Business Practice Location Address Details
Address
1015 Bowles Avenue
City
Fenton
State
Missouri
Zip
63026
Phone Number
636-496-2502
Fax Number
person
Provider Business Mailing Address Details
Address
1015 Bowles Avenue
City
Fenton
State
Missouri
Zip
63026
Phone Number
636-496-2502
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
()
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
()
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
()
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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