Organization · Type 2 NPI

SSM Depaul Medical Group, Inc.

Neurological Surgery Physician · Bridgeton, MO

NPI number 1154434736 Active

Practice location

12255 De Paul Dr, Suite 830
Bridgeton, MO 63044-2510

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1154434736

SSM Depaul Medical Group, Inc.'s National Provider Identifier is 1154434736, issued on Aug 16, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Bridgeton, MO. The record was last updated on Aug 22, 2020.