Organization · Type 2 NPI

Physician Groups LC

Medical Specialty Clinic/Center · St. Louis, MO

NPI number 1164599502 Active

Practice location

1040 N Mason Rd, Suite 102
St. Louis, MO 63141-6399

Call (314) 996-8349 Map

Fax (314) 996-8338

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).

17 other providers at this address

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About NPI 1164599502

Physician Groups LC's National Provider Identifier is 1164599502, issued on Nov 29, 2006. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in St. Louis, MO. The record was last updated on Jan 4, 2008.