Fairview Heights Medical Group Sc

NPI #1093858276 in Alton, Illinois

Provider Information

NPI Number
1093858276
Entity Type
Organization
Organization Name
Fairview Heights Medical Group Sc
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Feb 15, 2007
Last Updated
Jan 7, 2008

Practice Location

Address
1 MEMORIAL DR
Address 2
SUITE G204
City
Alton
ZIP Code
62002-6722
Phone
(618) 465-7887

Authorized Official

Name
RAYMOND P DAVIDSON II, MD
Title
PRESIDENT
Phone
(314) 286-2028

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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