PHYSICIAN GROUPS LC NPI 1821164955

NPI Information

NPI: 1821164955
Provider Name: PHYSICIAN GROUPS LC

Doing Business As: O FALLON FAMILY MEDICINE

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

Specialization: Primary Care

Address:
2630 HIGHWAY K
O FALLON, MO
ZIP 63368
Phone: (636) 240-5454
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PHYSICIAN GROUPS LC is a primary care clinic center in O Fallon, MO. PHYSICIAN GROUPS LC NPI is 1821164955. The provider is registered as an organization entity type.
The provider Is Doing Business As O Fallon Family Medicine.

The provider's business location address is:

2630 HIGHWAY K
O FALLON, MO
ZIP 63368-624
Phone: (636) 240-5454
Fax: (636) 980-5335

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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

NPI Synchronization or Removal

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