Organization · Type 2 NPI

Physicians of SSM ST Louis

Specialist · Lake St. Louis, MO

NPI number 1255470050 Active

Practice location

300 Medical Plz, Suite 230
Lake St. Louis, MO 63367-1481

Call (636) 625-1111 Map

Fax (636) 625-8566

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2006016942 (MO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

17 other providers at this address

About NPI 1255470050

Physicians of SSM ST Louis's National Provider Identifier is 1255470050, issued on Feb 6, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake St. Louis, MO. The record was last updated on Jun 20, 2008.