Physical Medicine Group, LLC

NPI #1033484795 in O Fallon, Missouri

Provider Information

NPI Number: 1033484795
Entity Type: Organization
Organization Name: Physical Medicine Group, LLC
Primary Specialty: Anesthesiology
Enumeration Date: Mar 14, 2012
Last Updated: Jun 5, 2012

Practice Location

Address: 8633 MEXICO RD
City: O Fallon
State: Missouri
ZIP Code: 63366-7506
Phone: (636) 272-8888

Authorized Official

Name: MICHAEL WILLIAMS
Title: PRESIDENT
Phone: 63627288888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Critical Care Medicine — Critical Care Medicine	207RC0200X
Anesthesiology	207L00000X	Primary

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