PC Associates, LLC

NPI #1417260613 in Columbia, Illinois

Provider Information

NPI Number: 1417260613
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: Jul 16, 2010
Last Updated: Feb 19, 2013

Practice Location

Address: 830 ADMIRAL WEINEL BLVD
City: Columbia
State: Illinois
ZIP Code: 62236-1992
Phone: (618) 281-7373

Authorized Official

Name: LISA K. MCDONALD
Title: CREDENTIALING COORDINATOR
Phone: (618) 257-4644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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