Organization · Type 2 NPI

Fairview Heights Medical Group SC

Surgery Physician · Alton, IL

NPI number 1609907880 Active

Practice location

2 Memorial Dr, Suite 105
Alton, IL 62002-6723

Call (618) 462-3191 Map

Mailing address

670 Mason Ridge Center Dr, Suite 300
St. Louis, MO 63141-8573

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1609907880

Fairview Heights Medical Group SC's National Provider Identifier is 1609907880, issued on Mar 8, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Alton, IL. The record was last updated on Jan 7, 2008.