Organization
PHYSICIAN GROUPS LC
Active
Other names
Siteman Cancer Center at BJSPH
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND P DAVIDSON II MD (PRESIDENT)
(314) 286-2028
Entity
Organization
Contact information
Practice address
150 ENTRANCE WAY, SAINT PETERS, MO 63376-1645
(636) 916-9923
(636) 916-9176
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
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2006
Last updated
03/26/2008
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