PHYSICIAN GROUPS LC NPI 1174699243

NPI Information

PHYSICIAN GROUPS LC is a primary care clinic center in Florissant, MO. PHYSICIAN GROUPS LC NPI is 1174699243. The provider is registered as an organization entity type.
The provider Is Doing Business As Bjc Medical Group North County.

The provider's business location address is:

1150 GRAHAM RD
SUITE 101
FLORISSANT, MO
ZIP 63031-077
Phone: (314) 831-6737
Fax: (314) 831-9269

The provider's authorized official is Raymond P Davidson .
The authorized official title is President and has the following contact phone number (314) 286-2028.

The CLIA number assigned to this NPI record is 26D1031569 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/28/2006 and was last updated on 3/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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