SOUTHSIDE MEDICAL GROUP PC is a specialist in Saint Louis, MO. The provider is 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. SOUTHSIDE MEDICAL GROUP PC NPI is 1912101486. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
9700 MACKENZIE RD STE 105
SAINT LOUIS, MO
ZIP 63123-423
Phone: (314) 638-9100
The provider's authorized official is Subodh K Mehra .
The authorized official title is Doctor and has the following contact phone number (314) 638-9100.
The enumeration date for this NPI number is 6/11/2007 and was last updated on 8/28/2009.