Physician Groups LC

Colon & Rectal Surgery Physician · Saint Louis, MO

Organization Active NPI

NPI number 1659415578

Practice location

11155 Dunn Rd
Suite 312e Building 1
Saint Louis, MO 63136-6150
Phone
(314) 741-0430

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NPI record

NPI
1659415578
Entity type
Organization (Type 2)
Enumeration date
February 16, 2007
Last updated
April 2, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Colon & Rectal Surgery Physician Primary 208C00000X — —

Mailing address

670 Mason Ridge Center Dr
Suite 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

  • North County Colorectal Surgery

About Physician Groups LC

Physician Groups LC is a healthcare organization registered in the NPI registry with the primary taxonomy Colon & Rectal Surgery Physician (code 208C00000X). The practice location is 11155 Dunn Rd, Suite 312e Building 1, Saint Louis, MO 63136-6150. The NPI number 1659415578 was assigned on February 16, 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 1659415578.

What is the phone number of Physician Groups LC?

The phone number listed for the practice location is (314) 741-0430.

Where is Physician Groups LC located?

11155 Dunn Rd, Suite 312e Building 1, Saint Louis, MO 63136-6150.

What is the taxonomy code for Physician Groups LC?

The primary taxonomy code is 208C00000X – Colon & Rectal 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.

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