FAIRVIEW HEIGHTS MEDICAL GROUP SC

ALTON, IL
NPI1528199718
Entity TypeOrganization
Authorized ContactRAYMOND P DAVIDSON
President
314-286-2028
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2007-03-08
Last Update Date2008-01-07
Business Address
FAIRVIEW HEIGHTS MEDICAL GROUP SC
230 REGIONAL DR
ALTON, IL 62002-5942
Phone number: 618-465-7080
Mailing Address
FAIRVIEW HEIGHTS MEDICAL GROUP SC
670 MASON RIDGE CENTER DR SUITE 300
SAINT LOUIS, MO 63141-8573
Phone number: 314-996-7644
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