Physician Groups Lc

NPI #1053487132 in Saint Louis, Missouri

Provider Information

NPI Number: 1053487132
Entity Type: Organization
Organization Name: Physician Groups Lc
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Nov 28, 2006
Last Updated: Mar 26, 2008

Practice Location

Address: 4921 PARKVIEW PL
Address 2: SUITE 14A
City: Saint Louis
State: Missouri
ZIP Code: 63110-1032
Phone: (314) 454-8778

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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