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1 Memorial Dr 1st Floor Alton IL 62002-6722 | |
(618) 433-7066 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 1 Memorial Dr, Alton, Illinois |
Authorized Official Name and Position | Raymond P Davidson (PRESIDENT) |
Authorized Official Contact | 3142862028 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 Ph: (314) 996-7644 | 1 Memorial Dr 1st Floor Alton IL 62002-6722 Ph: (618) 433-7066 |
NPI Number | 1942344981 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 01/07/2008 |
Identifier | Type | State | Issuer |
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1942344981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Cep America - Illinois Hospitalists, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Anthonys Way, Alton, IL 62002 Phone: 618-465-2571 | |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3523 Wickenhauser Ave, Alton, IL 62002 Phone: 618-465-8887 | |
E J Aragona Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Northport Dr, Alton, IL 62002 Phone: 618-466-6177 Fax: 618-466-6388 | |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3490 Humbert Rd, Alton, IL 62002 Phone: 618-465-2626 |