Physician Groups Lc

NPI #1043403009 in Saint Peters, Missouri

Provider Information

NPI Number
1043403009
Entity Type
Organization
Organization Name
Physician Groups Lc
Primary Specialty
Obstetrics & Gynecology
Enumeration Date
Aug 23, 2007
Last Updated
Jan 7, 2008

Practice Location

Address
70 JUNGERMANN CIR
Address 2
SUITE 101
ZIP Code
63376-1622
Phone
(636) 926-0404

Authorized Official

Name
RAYMOND P DAVIDSON II, MD
Title
PRESIDENT
Phone
(314) 286-2028

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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