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1174699243
PHYSICIAN GROUPS LC
FLORISSANT, MO
NPI
1174699243
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Entity Type
Organization
Authorized Contact
RAYMOND P DAVIDSON
President
314-286-2028
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center Primary Care
Enumeration Date
2006-11-28
Last Update Date
2008-03-26
Business Address
PHYSICIAN GROUPS LC
1150 GRAHAM RD SUITE 101
FLORISSANT, MO 63031-8077
Phone number: 314-831-6737
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Mailing Address
PHYSICIAN GROUPS LC
670 MASON RIDGE CENTER DR SUITE 300
SAINT LOUIS, MO 63141-8573
Phone number: 314-996-7644
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