PHYSICIAN GROUPS LC NPI 1922174150

NPI Information

  • NPI: 1922174150
  • Provider Name: PHYSICIAN GROUPS LC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: ASSOCIATED INTERNIST
  • Address: 675 OLD BALLAS RD
    SUITE 103
    CREVE COEUR, MO
    ZIP 63141
  • Phone: (314) 567-1902

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NPI Details

PHYSICIAN GROUPS LC is a primary care clinic center in Creve Coeur, MO. PHYSICIAN GROUPS LC NPI is 1922174150. The provider is registered as an organization entity type.
The provider Is Doing Business As Associated Internist.

The provider's business location address is:

675 OLD BALLAS RD
SUITE 103
CREVE COEUR, MO
ZIP 63141-083
Phone: (314) 567-1902
Fax: (314) 991-5347

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 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:

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: 3/30/2025

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