PC Associates ,llc

NPI #1013901487 in Belleville, Illinois

Provider Information

NPI Number: 1013901487
Entity Type: Organization
Organization Name: PC Associates ,llc
Subpart: Yes (part of a larger organization)
Parent Organization: PC ASSOCIATES LLC
Primary Specialty: Family Medicine
Enumeration Date: Aug 31, 2005
Last Updated: Feb 25, 2013

Practice Location

Address: 4600 MEMORIAL DRIVE
Address 2: STE. 220
City: Belleville
State: Illinois
ZIP Code: 62226
Phone: (618) 235-6191

Authorized Official

Name: JAMES B. DAVIS
Title: EXECUTIVE DIRECTOR
Phone: (618) 257-4644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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