Organization · Type 2 NPI

SSM Depaul Medical Group, Inc.

Cardiovascular Disease Physician · Louisiana, MO

NPI number 1073880480 Active

Practice location

2305 Georgia St
Louisiana, MO 63353-2559

Call (314) 291-0846 Map

Fax (573) 754-6056

Mailing address

1551 Wall St, Suite 310
St. Charles, MO 63303-3539

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed

Cardiovascular Disease Physician: 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.

18 other providers at this address

About NPI 1073880480

SSM Depaul Medical Group, Inc.'s National Provider Identifier is 1073880480, issued on Nov 30, 2011. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Louisiana, MO. The record was last updated on Jan 15, 2016.