Fairview Heights Medical Group Sc
NPI #1780740936 in Alton, Illinois
Provider Information
- NPI Number
- 1780740936
- Entity Type
- Organization
- Organization Name
- Fairview Heights Medical Group Sc
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Jan 4, 2008
Practice Location
Authorized Official
- Name
- RAYMOND P DAVIDSON II, MD
- Title
- PRESIDENT
- Phone
- (314) 286-2028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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