Organization
PHYSICIAN GROUPS LC
Active
Other names
Barnes St Peters Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND P DAVIDSON II MD (PRESIDENT)
(314) 286-2028
Entity
Organization
Contact information
Practice address
6 JUNGERMANN ROAD, SUITE 108, SAINT PETERS, MO 63376
(636) 916-9015
(636) 916-9016
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
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
03/27/2008
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