Physician Groups LC
Surgery Physician · O'Fallon, MO
Practice location
2 Progress Point ParkwaySuite 101c
O'Fallon, MO 63368
- Phone
- (636) 344-3102
NPI record
- NPI
- 1164553590
- Entity type
- Organization (Type 2)
- Enumeration date
- March 8, 2007
- Last updated
- April 2, 2008
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Physician Primary | 208600000X |
— | — |
Mailing address
670 Mason Ridge Center DrSuite 300
Saint Louis, MO 63141-8573
- Phone
- (314) 996-7644
- Fax
- (314) 996-7658
Authorized official
- Name
- Raymond P Davidson II, MD
- Title
- President
- Phone
- (314) 286-2028
Other names
- Carson Agee MD
About Physician Groups LC
Physician Groups LC is a healthcare organization registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 2 Progress Point Parkway, Suite 101c, O'Fallon, MO 63368. The NPI number 1164553590 was assigned on March 8, 2007 and the record was last updated on April 2, 2008.
The authorized official for this organization is Raymond P Davidson II, MD, President.
Frequently asked questions
What is the NPI number of Physician Groups LC?
The NPI number is 1164553590.
What is the phone number of Physician Groups LC?
The phone number listed for the practice location is (636) 344-3102.
Where is Physician Groups LC located?
2 Progress Point Parkway, Suite 101c, O'Fallon, MO 63368.
What is the taxonomy code for Physician Groups LC?
The primary taxonomy code is 208600000X – Surgery Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Surgery Physician providers in O'Fallon
- Stephanie L. Sandberg, D.O.20 Progress Point Pkwy
- Outpatient Surgery Services830 Waterbury Falls Dr