Physician Groups Lc
Specialty details in registry · Saint Louis, MO
At a glance
1040 N Mason Rd, Saint Louis, MO 63141-6399
NPPES record updated Jan 4, 2008. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1040 N Mason Rd Suite 102Saint Louis, MO 63141-6399
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QP2300X
- Enumeration date
- Nov 29, 2006
- Record updated
- Jan 4, 2008
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
261QP2300X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1040 N Mason RdSuite 102
Saint Louis, MO 63141-6399
- Phone
- (314) 996-8349
- Fax
- (314) 996-8338
Mailing address
670 MASON RIDGE CENTER DRSUITE 300
SAINT LOUIS, MO 631418573
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
Report a directory issue