Physician Groups Lc in O Fallon - Orthopaedic Surgery
Physician Groups Lc - NPI 1316130503
Physician Groups Lc is a Orthopaedic Surgery in O Fallon, Missouri. Physician Groups Lc practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Physician Groups Lc is 1316130503. The last update date is 2008-01-08.
Physician Groups Lc's current location address is 2630 Highway K, O Fallon, Missouri. You can contact this provider via phone number 6362405454 and fax number 6369805335. The mailing address for Physician Groups Lc is 2630 Highway K, O Fallon, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Physician Groups Lc |
|---|---|
| Address | 2630 Highway K, O Fallon, Missouri |
| Phone Number | 6362405454 |
| Fax Number | 6369805335 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Davidson P Raymond |
| Credentials | MD |
| Telephone Number | 3142862028 |
NPI Number Detail
| NPI Number | 1316130503 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2008-01-08 |
Provider Mailing Address Detail
| Address | 2630 Highway K |
|---|---|
| City | O Fallon |
| State | Missouri (MO) |
| Post Code | 633686624 |
| Phone Number | 6362405454 |
| Fax Number | 6369805335 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
|
Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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What is the Physician Groups Lc's 1316130503?
The Physician Groups Lc's NPI (National Provider Identifier) Number is 1316130503. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Physician Groups Lc's physical address?
The Physician Groups Lc is physically located at 2630 Highway K, in the city of O Fallon, MO, with the postal code 633686624.
What is Physician Groups Lc's area of expertise and its corresponding taxonomy classification?
The Physician Groups Lc's field of specialization is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316130503 to Physician Groups Lc?
The Centers for Medicare & Medicaid Services originally issued the 1316130503 to Physician Groups Lc on 2007-08-22.
As of what date were the details pertaining to Physician Groups Lc last refreshed?
The information related to the Physician Groups Lc, including its address, specialty, and other relevant details, was last updated on 2008-01-08.
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