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Organization

PHYSICIAN GROUPS LC

Active
Other names
Office of Dr. Reining
Organization subpart
No

Provider details

NPI number
Authorized official
RAYMOND P DAVIDSON II MD (PRESIDENT)
(314) 286-2028
Entity
Organization

Contact information

Practice address
70 JUNGERMANN CIR, SUITE 101, SAINT PETERS, MO 63376-1622
(636) 926-0404
(636) 980-5335
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

Other

Enumeration date
08/23/2007
Last updated
01/07/2008
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