Physician Groups Lc

NPI #1790978757 in O Fallon, Missouri

Provider Information

NPI Number
1790978757
Entity Type
Organization
Organization Name
Physician Groups Lc
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Aug 23, 2007
Last Updated
Jan 4, 2008

Practice Location

Address
2 PROGRESS POINT CT
Address 2
SUITE 101C
ZIP Code
63368-2208
Phone
(636) 916-9080

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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