PHYSICIAN GROUPS LC NPI 1487720421

NPI Information

PHYSICIAN GROUPS LC is a primary care clinic center in Saint Louis, MO. PHYSICIAN GROUPS LC NPI is 1487720421. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunset Hills Adult Medicine.

The provider's business location address is:

3844 S LINDBERGH BLVD
SAINT LOUIS, MO
ZIP 63127-368
Phone: (314) 525-0490
Fax: (314) 525-0508

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 enumeration date for this NPI number is 11/28/2006 and was last updated on 4/2/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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