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Ssm Medical Group
Multi-Specialty Clinic/Center in Fenton, Missouri
NPI 1770789984

Ssm Medical Group is a Multi-Specialty Clinic/Center based in Fenton, MO and is specialized in Multi-Specialty. Ssm Medical Group practices in Fenton, MO. The NPI Number for Ssm Medical Group is 1770789984 and holds a License No. (Missouri).

The current practice location address for Ssm Medical Group is 1747 Smizer Station Rd, Fenton, MO and can be reached out via phone at 636-225-7908 and via fax at 636-225-7497.

Location: 1747 Smizer Station Rd, Fenton, MO, 63026-2784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770789984
Provider Name
Ssm Medical Group
Credential
Provider Entity Type
Organization
Address
1747 Smizer Station Rd, Fenton, MO, 63026-2784
Phone Number
636-225-7908
Fax Number
636-225-7497
Provider Enumeration Date
06/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376561464 01 MO INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
1747 Smizer Station Rd
City
Fenton
State
Missouri
Zip
63026-2784
Phone Number
636-225-7908
Fax Number
636-225-7497
person
Provider Business Mailing Address Details
Address
1747 Smizer Station Rd
City
Fenton
State
Missouri
Zip
63026-2784
Phone Number
636-225-7908
Fax Number
636-225-7497
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
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Definition
Definition to come...
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