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 |