institution
Physician Groups Lc
Primary Care Clinic/Center in Florissant, Missouri
NPI 1043386162

Physician Groups Lc is a Primary Care Clinic/Center based in Saint Louis, MO and is specialized in Primary Care. Physician Groups Lc practices in Florissant, MO. The NPI Number for Physician Groups Lc is 1043386162 and holds a License No. (Missouri).

The current practice location address for Physician Groups Lc is 1225 Graham Rd, Florissant, MO and can be reached out via phone at 314-838-6700 and via fax at 314-838-6020. You can also correspond with Physician Groups Lc through the mailing address at 670 MASON RIDGE CENTER DR, SAINT LOUIS, MO - 63141-8573 (mailing address contact number: 314-996-7644).

Location: 1225 Graham Rd, Florissant, MO, 63141-8573
institution
Provider Profile Details
NPI Number
1043386162
Provider Name
Physician Groups Lc
Credential
Provider Entity Type
Organization
Address
1225 Graham Rd, Florissant, MO, 63141-8573
Phone Number
314-838-6700
Fax Number
314-838-6020
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CN1994 01 MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
1225 Graham Rd
City
State
Zip
63031-8014
Phone Number
314-838-6700
Fax Number
314-838-6020
person
Provider Business Mailing Address Details
Address
670 Mason Ridge Center Dr
City
State
Zip
63141-8573
Phone Number
314-996-7644
Fax Number
314-996-7658
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
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Definition
Definition to come...
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