Physician Groups Lc in Saint Louis - Multi-specialty

Physician Groups Lc - NPI 1760558829

Physician Groups Lc is a Multi-specialty in Saint Louis, Missouri. Physician Groups Lc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Physician Groups Lc is 1760558829. The last update date is 2008-03-26.

Physician Groups Lc's current location address is 670 Mason Ridge Center Dr, Saint Louis, Missouri. You can contact this provider via phone number 3149967644 and fax number 3149967658. The mailing address for Physician Groups Lc is 670 Mason Ridge Center Dr, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Organization Physician Groups Lc
Address 670 Mason Ridge Center Dr, Saint Louis, Missouri
Phone Number 3149967644
Fax Number 3149967658
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 1760558829
Provider Enumeration Date 2006-11-28
Last Updated Date 2008-03-26

Provider Mailing Address Detail

Address 670 Mason Ridge Center Dr
City Saint Louis
State Missouri (MO)
Post Code 631418573
Phone Number 3149967644
Fax Number 3149967658

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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CN1994 MEDICARE RAILROAD

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FAQs about Physician Groups Lc

What is the unique identifier code issued to Physician Groups Lc by the Centers for Medicare & Medicaid Services?

The Physician Groups Lc has been assigned the NPI (National Provider Identifier) 1760558829. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Physician Groups Lc is physically located?

The Physician Groups Lc is physically situated at the following address: 670 Mason Ridge Center Dr, Saint Louis, MO, 631418573.

What is Physician Groups Lc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Physician Groups Lc is Multi-specialty, and the corresponding taxonomy classification code for this specialized field is 261Qm1300X.

On what date did the Centers for Medicare & Medicaid Services assign the 1760558829 to Physician Groups Lc?

The Centers for Medicare & Medicaid Services assigned the 1760558829 to Physician Groups Lc on 2006-11-28.

When was the information pertaining to Physician Groups Lc most recently updated or revised?

The details related to Physician Groups Lc, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-26.

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