NPI 1033285135
Physician Groups Lc
Practice location
- Address
- 601 Business Loop 70 W, Columbia, MO 65203-2585
- Phone
- (573) 874-0008
- Fax
- (573) 874-0131
- Mailing address
- 670 Mason Ridge Center Dr Suite 300, Saint Louis, MO 63141-8573
Authorised official
- Name
- Raymond P Davidson
- Title
- President
- Phone
- (314) 286-2028
Registered specialties
Urgent Care Clinic/Center
Primary
Registry record
- NPI
- 1033285135
- Entity type
- Organization
- NPI issued
- 28 Nov 2006
- Record last updated
- 26 Mar 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.