# HGP MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376373431
- **Authorized official:** FRED R MILLS (CHAIRMAN)
- **Authorized official phone:** (210) 241-3626

## Contact information

- **Practice address:** 1320 N JEFFERSON AVE, SAINT LOUIS, MO 63106-2111
- **Practice address phone:** (314) 664-9123
- **Practice address fax:** (314) 664-9169
- **Mailing address:** 1320 N JEFFERSON AVE, SAINT LOUIS, MO 63106-2111
- **Mailing address phone:** (314) 664-9123
- **Mailing address fax:** (314) 664-9169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2024
- **Last updated:** 08/05/2024