Pc Associates, Llc | |
800 East Highway 50 O'fallon IL 62269 | |
(618) 257-4644 | |
Not Available |
Full Name | Pc Associates, Llc |
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Speciality | Family Medicine |
Location | 800 East Highway 50, O'fallon, Illinois |
Authorized Official Name and Position | James B Davis (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6182574644 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pc Associates, Llc 4500 Memorial Drive Credentialing Department Memorial Hospital Medical Affairs Belleville IL 62226 Ph: (618) 257-4644 | Pc Associates, Llc 800 East Highway 50 O'fallon IL 62269 Ph: (618) 257-4644 |
NPI Number | 1881135622 |
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Provider Enumeration Date | 03/13/2017 |
Last Update Date | 03/15/2017 |
Identifier | Type | State | Issuer |
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1881135622 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 036131200 (Illinois) | Primary |