Physician Groups Lc Valid NPI
Organization · Multi-Specialty Clinic/Center · O Fallon, MO
- NPI
- 1609942747
- Type
- Organization (Type 2)
- Primary specialty
- Multi-Specialty Clinic/Center (Clinic/Center)
- Specialty group
- Ambulatory Health Care Facilities
- Taxonomy code
- 261QM1300X
- Enumerated
- 2006-11-28
- Last updated
- 2008-03-26
Practice location
3449 Pheasant Meadow Dr, Suite 107
O Fallon, MO 63368-7364
(636) 379-4140