Provider First Line Business Practice Location Address:
SSM HEALTH/SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Provider Second Line Business Practice Location Address:
1402 SOUTH GRAND BLVD, ST. LOUIS, MO 63104
Provider Business Practice Location Address City Name:
ST. LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-617-2408
Provider Business Practice Location Address Fax Number:
314-617-2534
Provider Enumeration Date:
06/13/2024