Fairview Heights Medical Group Sc
NPI #1386787539 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1386787539
- Entity Type
- Organization
- Organization Name
- Fairview Heights Medical Group Sc
- Primary Specialty
- Internal Medicine - Endocrinology, Diabetes & Metabolism
- Enumeration Date
- Feb 15, 2007
- Last Updated
- Jan 7, 2008
Practice Location
- Address
- 8 SUNSET HILLS PROFESSIONAL CTR
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-3760
- Phone
- (618) 692-9828
Authorized Official
- Name
- RAYMOND P DAVIDSON II, MD
- Title
- PRESIDENT
- Phone
- (314) 286-2028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism |
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