Physician Groups Lc
NPI #1144357278 in Weldon Spring, Missouri
Provider Information
- NPI Number
- 1144357278
- Entity Type
- Organization
- Organization Name
- Physician Groups Lc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 27, 2007
- Last Updated
- Apr 2, 2008
Practice Location
- Address
- 1110 WOLFRUM RD
- City
- Weldon Spring
- State
- Missouri
- ZIP Code
- 63304-7796
- Phone
- (636) 928-2880
Authorized Official
- Name
- RAYMOND P DAVIDSON II, MD
- Title
- PRESIDENT
- Phone
- (314) 286-2028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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