Organization Name: | PHYSICIANS OF SSM ST LOUIS |
NPI Number: | 1255470050 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE BARRY (VICE PRES OF PATIENT FINANCIAL SERV) |
Mailing Address: | 300 Medical Plz Suite 230 Lake St Louis |
State: | MO US |
Postal Code: | 633671481 |
Phone Number: | 6366251111 |
Fax Number: | 6366258566 |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 06/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2006016942 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |