Physician Groups Lc
NPI #1508909680 in Saint Louis, Missouri
Provider Information
- NPI Number
- 1508909680
- Entity Type
- Organization
- Organization Name
- Physician Groups Lc
- Primary Specialty
- Clinic/Center - Pain
- Enumeration Date
- Feb 15, 2007
- Last Updated
- Apr 2, 2008
Practice Location
- Address
- 11155 DUNN RD
- Address 2
- SUITE 109N
- City
- Saint Louis
- State
- Missouri
- ZIP Code
- 63136-6150
- Phone
- (314) 653-5450
Authorized Official
- Name
- RAYMOND P DAVIDSON II, MD
- Title
- PRESIDENT
- Phone
- (314) 286-2028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
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