Physician Groups Lc in Saint Louis - Medical Specialty
Physician Groups Lc - NPI 1689741936
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 1689741936. The last update date is 2008-04-02.
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 | 1689741936 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2008-04-02 |
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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What is the unique 10-digit identification 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) 1689741936 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Physician Groups Lc?
The Physician Groups Lc is physically situated at 670 Mason Ridge Center Dr, in the city of Saint Louis, state of MO, with the postal code 631418573.
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 Medical Specialty, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm2500X.
On what date did the Physician Groups Lc receive its 1689741936 assignment from the Centers for Medicare & Medicaid Services?
The Physician Groups Lc was assigned its 1689741936 by the Centers for Medicare & Medicaid Services on 2006-11-30.
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 2008-04-02.