Physician Groups Lc

NPI #1760513196 in O'fallon, Missouri

Provider Information

NPI Number
1760513196
Entity Type
Organization
Organization Name
Physician Groups Lc
Primary Specialty
Obstetrics & Gynecology
Enumeration Date
Mar 8, 2007
Last Updated
Apr 2, 2008

Practice Location

Address
2 PROGRESS POINT PARKWAY
Address 2
SUITE 101D
ZIP Code
63368
Phone
(636) 344-3105

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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