PC Associates LLC

NPI #1235452855 in O'fallon, Illinois

Provider Information

NPI Number: 1235452855
Entity Type: Organization
Organization Name: PC Associates LLC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 10, 2010
Last Updated: Jul 29, 2014

Practice Location

Address: 310 NORTH SEVEN HILLS ROAD
City: O'fallon
State: Illinois
ZIP Code: 62269
Phone: (618) 624-6181

Authorized Official

Name: MR. JAMES B. DAVIS, FACHE, MBA, MHSA
Title: EXECUTIVE DIRECTOR
Phone: (618) 257-6301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Psychologist - Clinical — Clinical	103TC0700X
Internal Medicine	207R00000X	Primary

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