Organization · Type 2 NPI
Physician Groups LC
Primary Care Clinic/Center · High Ridge, MO
NPI number
1710053897
Active
Practice location
1 Dillon Plaza Dr
High Ridge, MO 63049-2478
Fax (636) 677-3174
Mailing address
670 Mason Ridge Center Dr, Suite 300
St. Louis, MO 63141-8573
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1710053897
Physician Groups LC's National Provider Identifier is 1710053897, issued on Nov 28, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in High Ridge, MO. The record was last updated on Mar 20, 2008.