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

Physician Groups Lc

Organization Primary Care Clinic/Center · NPI 1821164955

Physician Groups Lc is a Primary Care Clinic/Center in O Fallon, Missouri. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2630 Highway K
O Fallon, MO 63368-6624
Phone: (636) 240-5454
Fax: (636) 980-5335
Show map & directions

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

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1821164955
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Davidson — President · (314) 286-2028
Other names O Fallon Family Medicine
NPI enumeratedNovember 28, 2006
Last updated in NPPESMarch 26, 2008
Mailing address670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573

Other providers in O Fallon