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

Physician Groups Lc

Organization Colon & Rectal Surgery Physician · NPI 1659415578

Physician Groups Lc is a Colon & Rectal Surgery Physician in Saint Louis, Missouri. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

11155 Dunn Rd Ste 312E Bldg 1
Saint Louis, MO 63136-6150
Phone: (314) 741-0430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X

Record details

NPI number1659415578
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Davidson — President · (314) 286-2028
Other names North County Colorectal Surgery
NPI enumeratedFebruary 16, 2007
Last updated in NPPESApril 2, 2008
Mailing address670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573

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