Fairview Heights Medical Group Sc
NPI #1134285380 in Bethalto, Illinois
Provider Information
- NPI Number
- 1134285380
- Entity Type
- Organization
- Organization Name
- Fairview Heights Medical Group Sc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Jan 7, 2008
Practice Location
Authorized Official
- Name
- RAYMOND P DAVIDSON II, MD
- Title
- PRESIDENT
- Phone
- (314) 286-2028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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