Physician Groups Lc in O Fallon - Multi-specialty

Physician Groups Lc - NPI 1609942747

Physician Groups Lc is a Multi-specialty in O Fallon, Missouri. Physician Groups Lc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Physician Groups Lc is 1609942747. The last update date is 2008-03-26.

Physician Groups Lc's current location address is 3449 Pheasant Meadow Dr, O Fallon, Missouri. You can contact this provider via phone number 6363794140 and fax number 6363794132. The mailing address for Physician Groups Lc is 3449 Pheasant Meadow Dr, O Fallon, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Physician Groups Lc
Address 3449 Pheasant Meadow Dr, O Fallon, Missouri
Phone Number 6363794140
Fax Number 6363794132
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 1609942747
Provider Enumeration Date 2006-11-28
Last Updated Date 2008-03-26

Provider Mailing Address Detail

Address 3449 Pheasant Meadow Dr
City O Fallon
State Missouri (MO)
Post Code 633687364
Phone Number 6363794140
Fax Number 6363794132

Provider's Primary Taxonomy Detail

Speciality Multi-specialty
Taxonomy 261Qm1300X
Definition:
Provides integrated outpatient care across medical and surgical specialties with referrals under one roof.

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FAQs about Physician Groups Lc

What is the unique 10-digit identifier code assigned to Physician Groups Lc by the Centers for Medicare & Medicaid Services?

The Physician Groups Lc has been issued the NPI (National Provider Identifier) 1609942747 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Physician Groups Lc's facilities are situated?

The facilities of Physician Groups Lc are physically located at the following address: 3449 Pheasant Meadow Dr, O Fallon, MO, 633687364.

What is Physician Groups Lc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Physician Groups Lc's specialized field of practice is Multi-specialty, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm1300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1609942747 to Physician Groups Lc?

The Centers for Medicare & Medicaid Services assigned the 1609942747 to Physician Groups Lc on 2006-11-28.

When was the information regarding Physician Groups Lc most recently updated?

The details pertaining to the Physician Groups Lc, including its address, specialty, and other relevant information, were last refreshed on 2008-03-26.

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