Graduated: 1998
NPI: 1740510247
Practice Locations (2)
SSM MEDICAL GROUP INC
1011 BOWLES AVE, SUITE 300
FENTON, MO 630262387
6364965000
COGENT HEALTHCARE OF MISSOURI INC
1015 BOWLES AVE
FENTON, MO 630262394
6364962000
Source: CMS National Downloadable File, September 2026.