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PHYSICIAN GROUPS LC NPI 1790851731


NPI Information

NPI: 1790851731
Provider Name: PHYSICIAN GROUPS LC

Doing Business As: UNION CLINIC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1780 OLD US HIGHWAY 50 E
SUITE 102
UNION, MO
ZIP 63084
Phone: (636) 583-8686
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PHYSICIAN GROUPS LC is a primary care clinic center in Union, MO. PHYSICIAN GROUPS LC NPI is 1790851731. The provider is registered as an organization entity type.
The provider Is Doing Business As Union Clinic.

The provider's business location address is:

1780 OLD US HIGHWAY 50 E
SUITE 102
UNION, MO
ZIP 63084-330
Phone: (636) 583-8686
Fax: (636) 583-1765

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 1/4/2008.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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