Physician Groups Lc
NPI #1184791535 in Saint Peters, Missouri
Provider Information
- NPI Number
- 1184791535
- Entity Type
- Organization
- Organization Name
- Physician Groups Lc
- Primary Specialty
- Clinic/Center - Oncology
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Mar 26, 2008
Practice Location
- Address
- 150 ENTRANCE WAY
- City
- Saint Peters
- State
- Missouri
- ZIP Code
- 63376-1645
- Phone
- (636) 916-9923
Authorized Official
- Name
- RAYMOND P DAVIDSON II, MD
- Title
- PRESIDENT
- Phone
- (314) 286-2028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oncology — Oncology |
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