Individual
DAVID P RAWDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 MEMORIAL DR STE 210, BELLEVILLE, IL 62226-5373
(618) 235-0460
(618) 235-1464
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036096642
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096642
—
IL
05
—
1376549139
—
IL
Enumeration date
06/24/2005
Last updated
09/26/2025
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