Ca Group, LLC

NPI #1255634424 in O Fallon, Illinois

Provider Information

NPI Number
1255634424
Entity Type
Organization
Organization Name
Ca Group, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
CA GROUP, LLC
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Dec 9, 2010
Last Updated
Feb 21, 2013

Practice Location

Address
310 N SEVEN HILLS RD
Address 2
STE 150
ZIP Code
62269-4111
Phone
(618) 632-1495

Authorized Official

Name
JAMES B. DAVIS
Title
EXECUTIVE DIRECTOR
Phone
(618) 257-4644

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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