Graduated: 2004
NPI: 1427287697
Practice Locations (2)
SSM HEALTH CARE ST LOUIS
12303 DEPAUL DR, SSM HEALTH DEPAUL HOSPITAL PHYSICIAN BILLIN
BRIDGETON, MO 630442512
3143446000
SSM MEDICAL GROUP INC
1011 BOWLES AVE, SUITE 300
FENTON, MO 630262387
6364965000
Source: CMS National Downloadable File, September 2026.