FAIRVIEW HEIGHTS MEDICAL GROUP SC

ALTON, IL
NPI1982760930
Doing Business AsALTON INTERNAL MEDICINE
Entity TypeOrganization
Authorized ContactRAYMOND P DAVIDSON
President
314-286-2028
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2006-12-27
Last Update Date2008-01-04
Business Address
FAIRVIEW HEIGHTS MEDICAL GROUP SC
2 MEMORIAL DR SUITE 220
ALTON, IL 62002-6723
Phone number: 618-474-1723
Mailing Address
FAIRVIEW HEIGHTS MEDICAL GROUP SC
670 MASON RIDGE CENTER DR SUITE 300
SAINT LOUIS, MO 63141-8573
Phone number: 314-996-7644