Organization · Type 2 NPI

Physician Groups LC

Primary Care Clinic/Center · St. Louis, MO

NPI number 1043386147 Active

Practice location

3009 N Ballas Rd, Suite 315A
St. Louis, MO 63131-2322

Call (314) 996-5900 Map

Fax (314) 996-5910

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1043386147

Physician Groups LC's National Provider Identifier is 1043386147, issued on Nov 28, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in St. Louis, MO. The record was last updated on Mar 26, 2008.