Physician Groups Lc in Saint Louis - Medical Specialty
Physician Groups Lc - NPI 1124194212
Physician Groups Lc is a Medical Specialty in Saint Louis, Missouri. Physician Groups Lc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Physician Groups Lc is 1124194212. 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 | 1124194212 |
|---|---|
| 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 | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Physician Groups Lc?
The Physician Groups Lc has been issued the NPI (National Provider Identifier) 1124194212 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Physician Groups Lc's facilities are geographically located?
The facilities of Physician Groups Lc are physically situated at the following location: 670 Mason Ridge Center Dr, Saint Louis, MO, 631418573.
What is Physician Groups Lc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Physician Groups Lc is Medical Specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm2500X.
When did Physician Groups Lc receive its 1124194212 assignment?
The Physician Groups Lc was assigned its 1124194212 on 2006-11-28, which is the date when this unique identifier was issued to the organization.
As of what date were the Physician Groups Lc's details last updated?
The information pertaining to the Physician Groups Lc, including its address, specialty, and other details, was most recently updated on 2008-03-26.