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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
8 SUNSET HILLS PROFESSIONAL CTR, EDWARDSVILLE, IL 62025-3760
(618) 692-9828
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

Other

Enumeration date
02/15/2007
Last updated
01/07/2008
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