PHYSICIAN GROUPS LC

CREVE COEUR, MO
NPI1922174150
Entity TypeOrganization
Authorized ContactRAYMOND P DAVIDSON
President
314-286-2028
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center Primary Care
Enumeration Date2006-11-28
Last Update Date2008-03-26
Business Address
PHYSICIAN GROUPS LC
675 OLD BALLAS RD SUITE 103
CREVE COEUR, MO 63141-7083
Phone number: 314-567-1902
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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