Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Physician Groups Lc

Organization Surgery Physician · NPI 1164553590

Physician Groups Lc is a Surgery Physician in O Fallon, Missouri. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2 Progress Point Pkwy Ste 101C
O Fallon, MO 63368
Phone: (636) 344-3102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1164553590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Davidson — President · (314) 286-2028
Other names Carson Agee Md
NPI enumeratedMarch 8, 2007
Last updated in NPPESApril 2, 2008
Mailing address670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573

Other providers in O Fallon