Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairview Heights Medical Group SC

Organization Endocrinology, Diabetes & Metabolism Physician · NPI 1871624411

Fairview Heights Medical Group SC is an Endocrinology, Diabetes & Metabolism Physician in Saint Louis, Missouri. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

11155 Dunn Rd Ste 108N
Saint Louis, MO 63136-6150
Phone: (314) 355-6779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X

Record details

NPI number1871624411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Davidson — President · (314) 286-2028
Other names North County Endocrinology
NPI enumeratedMarch 7, 2007
Last updated in NPPESJanuary 7, 2008
Mailing address670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573

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