OrganizationActive
Physician Groups Lc
NPI 1649346719 · Medical Specialty Clinic/Center · Columbia, MO
Provider details
- NPI number
- 1649346719
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Raymond Davidson, President(314) 286-2028
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1605 E Broadway
Suite 200
Columbia, MO 65201-8023
Phone: (573) 815-7119
Fax: (573) 815-7116
Approximate (ZIP-level) locationGet directions
Mailing address
670 Mason Ridge Center Dr
Saint Louis, MO 63141-8573
Other names (DBA / former)
- Doing business as
- Boone Pulmonary Medicine
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2008-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.