NPI 1093155905
SSM Depaul Health Center
Practice location
- Address
- 12303 de Paul Dr, Bridgeton, MO 63044-2512
- Phone
- (314) 334-6971
- Mailing address
- 12303 Depaul Drive, Bridgeton, MO 63044
Authorised official
- Name
- Jay Moore
- Title
- Vice President of Academic Affairs
- Phone
- (314) 334-6971
Registered specialties
Podiatric Assistant
Primary
Registry record
- NPI
- 1093155905
- Entity type
- Organization
- NPI issued
- 25 Jun 2013
- Record last updated
- 25 Jun 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.