NPI | 1053477554 |
---|---|
Doing Business As | FAMILY PHYSICIANS OF ALTON |
Entity Type | Organization |
Authorized Contact | RAYMOND P DAVIDSON President 314-286-2028 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2006-12-29 |
Last Update Date | 2008-01-07 |