Physician Groups Lc

NPI #1790851731 in Union, Missouri

Provider Information

NPI Number
1790851731
Entity Type
Organization
Organization Name
Physician Groups Lc
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Nov 28, 2006
Last Updated
Jan 4, 2008

Practice Location

Address
1780 OLD US HIGHWAY 50 E
Address 2
SUITE 102
City
Union
ZIP Code
63084-3330
Phone
(636) 583-8686

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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