NPI 1801089057

Physician Groups Lc

Organisation Allergy Physician Farmington, MO

Practice location

Address: 301 N Washington St Suite 5, Farmington, MO 63640-1751
Phone: (573) 756-1744
Fax: (573) 756-2499
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

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X

Other Allergy & Immunology providers in Missouri →

Registry record

NPI: 1801089057
Entity type: Organization
NPI issued: 21 Aug 2007
Record last updated: 7 Jan 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.