Organization · Type 2 NPI
Integrated Medical Group, LLC
General Practice Physician · St. Louis, MO
NPI number
1265327076
Active
Practice location
6155 S Grand Blvd Ste 140
St. Louis, MO 63111-2319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1265327076
Integrated Medical Group, LLC's National Provider Identifier is 1265327076, issued on Jun 11, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 11, 2025.