Professional Care Providers, LLC

NPI #1821001918 in Saint Charles, Missouri

Provider Information

NPI Number: 1821001918
Entity Type: Organization
Organization Name: Professional Care Providers, LLC
Primary Specialty: Physician Assistant
Enumeration Date: Aug 13, 2006
Last Updated: Apr 29, 2008

Practice Location

Address: 723 1ST CAPITOL DR
City: Saint Charles
State: Missouri
ZIP Code: 63301-2729
Phone: (636) 577-1357

Authorized Official

Name: RAY BARTLETT, P.A.
Title: PRESIDENT
Phone: (636) 577-1357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Physician Assistant	363A00000X	Primary

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