Physician Groups Lc

NPI #1164553590 in O'fallon, Missouri

Provider Information

NPI Number
1164553590
Entity Type
Organization
Organization Name
Physician Groups Lc
Primary Specialty
Surgery
Enumeration Date
Mar 8, 2007
Last Updated
Apr 2, 2008

Practice Location

Address
2 PROGRESS POINT PARKWAY
Address 2
SUITE 101C
ZIP Code
63368
Phone
(636) 344-3102

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Surgery

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