Family Practice Associates, PC

NPI #1861688541 in Waterloo, Illinois

Provider Information

NPI Number
1861688541
Entity Type
Organization
Organization Name
Family Practice Associates, PC
Primary Specialty
Family Medicine
Enumeration Date
Sep 17, 2007
Last Updated
Oct 29, 2008

Practice Location

Address
509 HAMACHER ST
Address 2
SUITE 102
ZIP Code
62298-1592
Phone
(618) 939-3939

Authorized Official

Name
DR. JAY PICKETT, MD
Title
OWNER
Phone
(618) 939-3939

Specialties & Taxonomy Codes

Specialty
Family Medicine

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