FAIRVIEW HEIGHTS MEDICAL GROUP SC

ALTON, IL
NPI1780740936
Entity TypeOrganization
Authorized ContactRAYMOND P DAVIDSON
President
314-286-2028
Organization Subpart ?No
Primary Taxonomy261QM2500X Clinic/Center Medical Specialty
Enumeration Date2006-12-29
Last Update Date2008-01-04
Business Address
FAIRVIEW HEIGHTS MEDICAL GROUP SC
2 MEMORIAL DR SUITE 105
ALTON, IL 62002-6723
Phone number: 618-462-3191
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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