Physicians Health Group Medical INC

NPI #1245642420 in Fenton, Missouri

Provider Information

NPI Number: 1245642420
Entity Type: Organization
Organization Name: Physicians Health Group Medical INC
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: May 22, 2014
Last Updated: Jun 1, 2015

Practice Location

Address: 960 S. HIGHWAY DR
City: Fenton
State: Missouri
ZIP Code: 63026
Phone: (636) 305-2000

Authorized Official

Name: MR. CHRISTOPHER KAVANAUGH
Title: OWNER
Phone: (636) 305-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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