NPI 1245642420

Physicians Health Group Medical INC

Organisation Pain Medicine Physician Fenton, MO

Practice location

Address: 960 S. Highway Dr, Fenton, MO 63026
Phone: (636) 305-2000
Fax: (314) 584-7007
Mailing address: P.O. Box 970, Chesterfield, MO 63006

Authorised official

Name: Christopher Kavanaugh
Title: Owner
Phone: (636) 305-2000

Registered specialties (2)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Missouri →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Missouri →

Registry record

NPI: 1245642420
Entity type: Organization
NPI issued: 22 May 2014
Record last updated: 1 Jun 2015

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.