| NPI | 1780715441 |
|---|---|
| Doing Business As | FAMILY PHYSICIANS OF BETHALTO |
| Entity Type | Organization |
| Authorized Contact | RAYMOND P DAVIDSON President 314-286-2028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-01-07 |