Organization · Type 2 NPI

Physician Groups LC

Surgery Physician · O'fallon, MO

NPI number 1164553590 Active

Practice location

2 Progress Point Parkway, Suite 101C
O'fallon, MO 63368

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

6 other providers at this address

About NPI 1164553590

Physician Groups LC's National Provider Identifier is 1164553590, issued on Mar 8, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in O'fallon, MO. The record was last updated on Apr 2, 2008.