FAIRVIEW HEIGHTS MEDICAL GROUP SC is a medical specialty clinic center in Bridgeton, MO. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). FAIRVIEW HEIGHTS MEDICAL GROUP SC NPI is 1407912736. The provider is registered as an organization entity type.
The provider's business location address is:
3165 MCKELVEY RD
210
BRIDGETON, MO
ZIP 63044-550
Phone: (314) 996-8148
Fax: (314) 996-8134
The provider's authorized official is John Ellena .
The authorized official title is Medical Director and has the following contact phone number (314) 434-8828.
The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/22/2020.