NPI 1154434736

SSM Depaul Medical Group, INC.

Organisation Neurological Surgery Physician Bridgeton, MO

Practice location

Address: 12255 de Paul Dr Suite 830, Bridgeton, MO 63044-2510
Phone: (314) 291-6556

Authorised official

Name: Laura Pullum
Title: Director of Patient Accounts
Phone: (314) 209-8121

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

Other Neurological Surgery providers in Missouri →

Registry record

NPI: 1154434736
Entity type: Organization
NPI issued: 16 Aug 2006
Record last updated: 22 Aug 2020

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.