PC Associate, LLC
NPI #1003120387 in Belleville, Illinois
Provider Information
- NPI Number
- 1003120387
- Entity Type
- Organization
- Organization Name
- PC Associate, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PC ASSOCIATE, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 29, 2010
- Last Updated
- Feb 25, 2013
Practice Location
- Address
- 4600 MEMORIAL DR
- Address 2
- STE 160
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5368
- Phone
- (618) 235-0460
Authorized Official
- Name
- JAMES B. DAVIS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (618) 257-4644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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