SSM MEDICAL GROUP is a clinic center in Maryville, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SSM MEDICAL GROUP NPI is 1538342621. The provider is registered as an organization entity type.
The provider Is Doing Business As Maryville Pediatrics.
The provider's business location address is:
6828 STATE ROUTE 162
MARYVILLE, IL
ZIP 62062-500
Phone: (618) 288-5084
The provider's authorized official is Lesa Schnarr .
The authorized official title is Director and has the following contact phone number (314) 951-5330.
The CLIA number assigned to this NPI record is 14D0979908 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/11/2007 and was last updated on 12/11/2007.