Physician Groups Lc

NPI #1659415578 in Saint Louis, Missouri

Provider Information

NPI Number: 1659415578
Entity Type: Organization
Organization Name: Physician Groups Lc
Primary Specialty: Colon & Rectal Surgery
Enumeration Date: Feb 16, 2007
Last Updated: Apr 2, 2008

Practice Location

Address: 11155 DUNN RD
Address 2: SUITE 312E BUILDING 1
City: Saint Louis
State: Missouri
ZIP Code: 63136-6150
Phone: (314) 741-0430

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Colon & Rectal Surgery	208C00000X	Primary

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