Physician Groups Lc
Physician Groups Lc provides Multi-Specialty Clinic/Center services in O Fallon, Missouri. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
3449 Pheasant Meadow Dr Ste 107O Fallon, MO 63368-7364 Not confirmed with CMS for 18 years — call before visiting
Phone: (636) 379-4140
Fax: (636) 379-4132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|
Record details
| NPI number | 1609942747 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raymond Davidson — President · (314) 286-2028 |
| Other names | Pheasant Point Physicians |
| NPI enumerated | November 28, 2006 |
| Last updated in NPPES | March 26, 2008 |
| Mailing address | 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 |
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