Fairview Heights Medical Group SC
Fairview Heights Medical Group SC is a Medical Specialty Clinic/Center in Alton, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
2 Memorial Dr Ste 105Alton, IL 62002-6723
Phone: (618) 462-3191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X |
|---|
Record details
| NPI number | 1780740936 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raymond Davidson — President · (314) 286-2028 |
| Other names | Alton Surgery |
| NPI enumerated | December 29, 2006 |
| Last updated in NPPES | January 4, 2008 |
| Mailing address | 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 |
Other providers in Alton
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John a Chanasue, M D Ltd
307 Henry St Ste 200, Alton, IL 62002-6326 · (618) 462-9623