Organization · Type 2 NPI
Physician Groups LC
Multi-Specialty Clinic/Center · O Fallon, MO
NPI number
1609942747
Active
Practice location
3449 Pheasant Meadow Dr, Suite 107
O Fallon, MO 63368-7364
Fax (636) 379-4132
Mailing address
670 Mason Ridge Center Dr, Suite 300
St. Louis, MO 63141-8573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Another provider at this address
Other multi-specialty clinic/center providers in O Fallon
- O'Fallon Pain Relief Associates LLCMulti-Specialty Clinic/Center O Fallon, MO NPI 1083958706
- Back & Neck Care Center, P.c.Multi-Specialty Clinic/Center O Fallon, MO NPI 1184731010
- Premise Health of Ohio Medical, P.aMulti-Specialty Clinic/Center O Fallon, MO NPI 1558767244
- Premise Health of Missouri Medical PCMulti-Specialty Clinic/Center O Fallon, MO NPI 1992412266
About NPI 1609942747
Physician Groups LC's National Provider Identifier is 1609942747, issued on Nov 28, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in O Fallon, MO. The record was last updated on Mar 26, 2008.