| Pc Associates, Llc | |
|
800 East Highway 50 O'fallon IL 62269 | |
| (618) 257-4644 | |
| Not Available |
| Full Name | Pc Associates, Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 03/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881135622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036131200 (Illinois) | Primary |