Fairview Heights Medical Group SC
Fairview Heights Medical Group SC is an Urology Physician in Glen Carbon, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
2246 S State Route 157 Ste 200Glen Carbon, IL 62034-1717
Phone: (618) 288-5888
Fax: (618) 288-6475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X |
|---|
Record details
| NPI number | 1538341094 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raymond Davidson — President · (314) 286-2028 |
| Other names | Alton Urology - Glen Carbon |
| NPI enumerated | November 27, 2007 |
| Last updated in NPPES | January 7, 2008 |
| Mailing address | 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 |