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NPI Verification

National Provider Identifier: 1689717621

Fairview Heights Medical Group Sc

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

2 MEMORIAL DR

SUITE 101

ALTON, IL 620026723

Phone: 618-462-0720

NPI Enumeration Date

February 15, 2007

NPI Number

1689717621

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Fairview Heights Medical Group Sc - NPI 1689717621 | Provider Verification | HormoneMap