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Organization
PHYSICIAN GROUPS LC
Active
Organization
PHYSICIAN GROUPS LC
Active
Other names
Contemporary Womens Healthcare Mo Bap
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND P. DAVIDSON II MD (PRESIDENT)
(314) 286-2028
Entity
Organization
Contact information
Practice address
3009 N BALLAS RD, BUILDING C SUITE 354, SAINT LOUIS, MO 63131-2322
(314) 344-3105
(314) 996-7185
Mailing address
670 MASON RIDGE CENTER DR, SUITE 300, SAINT LOUIS, MO 63141-8573
(314) 996-7644
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/22/2007
Last updated
01/04/2008
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