Organization · Type 2 NPI

Physician Groups LC

Primary Care Clinic/Center · Florissant, MO

NPI number 1174699243 Active

Practice location

1150 Graham Rd, Suite 101
Florissant, MO 63031-8077

Call (314) 831-6737 Map

Fax (314) 831-9269

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 1174699243

Physician Groups LC's National Provider Identifier is 1174699243, issued on Nov 28, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Florissant, MO. The record was last updated on Mar 26, 2008.