Physician Groups Lc

NPI #1316130503 in O Fallon, Missouri

Provider Information

NPI Number: 1316130503
Entity Type: Organization
Organization Name: Physician Groups Lc
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Aug 22, 2007
Last Updated: Jan 8, 2008

Practice Location

Address: 2630 HIGHWAY K
City: O Fallon
State: Missouri
ZIP Code: 63368-6624
Phone: (636) 240-5454

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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