Organization · Type 2 NPI

Physician Groups LC

Medical Specialty Clinic/Center · St. Peters, MO

NPI number 1003982182 Active

Practice location

6 Jungermann Cir, Suite 209
St. Peters, MO 63376-1621

Call (636) 916-9080 Map

Fax (636) 916-9332

Mailing address

670 Mason Ridge Center Dr, Suite 300
St. Louis, MO 63141-8573

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

15 other providers at this address

About NPI 1003982182

Physician Groups LC's National Provider Identifier is 1003982182, issued on Nov 28, 2006. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in St. Peters, MO. The record was last updated on Mar 26, 2008.