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Organization
FAIRVIEW HEIGHTS MEDICAL GROUP SC
Active
Organization
FAIRVIEW HEIGHTS MEDICAL GROUP SC
Active
Other names
North County Endocrinology
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND P. DAVIDSON II MD (PRESIDENT)
(314) 286-2028
Entity
Organization
Contact information
Practice address
11155 DUNN RD, SUITE 108N, SAINT LOUIS, MO 63136-6150
(314) 355-6779
Mailing address
670 MASON RIDGE CENTER DR, SUITE 300, SAINT LOUIS, MO 63141-8573
(314) 996-7644
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
01/07/2008
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