Graduated: 2012
NPI: 1316508054
Practice Locations (2)
SSM MEDICAL GROUP INC
12266 DE PAUL DR, SUITE 100
BRIDGETON, MO 630442541
3147382770
AGING WELL HEALTH CARE, LLC
7212 BALSON AVE
SAINT LOUIS, MO 631303001
Source: CMS National Downloadable File, September 2026.