Physicians Health Group Medical Inc

Organization General Practice Physician · NPI 1245642420

Physicians Health Group Medical Inc provides General Practice Physician services in Fenton, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in: MO
In the registry since: 2014
Specialties on file: 2

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

960 S Highway Dr
Fenton, MO 63026 Not confirmed with CMS for 11 years — call before visiting
Phone: (636) 305-2000
Fax: (314) 584-7007

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary)	Taxonomy 208VP0000X (MO)
General Practice Physician	Taxonomy 208D00000X (MO)

Record details

NPI number	1245642420
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Christopher Kavanaugh — Owner · (636) 305-2000
NPI enumerated	May 22, 2014
Last updated in NPPES	June 1, 2015
Mailing address	P.O. Box 970, Chesterfield, MO 63006