Physician Groups Lc

NPI #1215068655 in O Fallon, Missouri

Provider Information

NPI Number
1215068655
Entity Type
Organization
Organization Name
Physician Groups Lc
Primary Specialty
Internal Medicine
Enumeration Date
Mar 8, 2007
Last Updated
Apr 2, 2008

Practice Location

Address
2 PROGRESS POINT CT
Address 2
SUITE 101E
ZIP Code
63368-2208
Phone
(636) 344-2400

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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