Organization · Type 2 NPI

Physician Groups LC

Allergy Physician · Farmington, MO

NPI number 1801089057 Active

Practice location

301 N Washington St, Suite 5
Farmington, MO 63640-1751

Fax (573) 756-2499

Mailing address

670 Mason Ridge Center Dr, Suite 300
St. Louis, MO 63141-8573

Specialties and licenses

TaxonomyCodeLicense
Allergy Physician Primary 207KA0200XNone listed

Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.

3 other providers at this address

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About NPI 1801089057

Physician Groups LC's National Provider Identifier is 1801089057, issued on Aug 21, 2007. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Farmington, MO. The record was last updated on Jan 7, 2008.