Pc Associates, Llc | |
501 Beltline Road, Ste 20-d Collinsville IL 62234-4410 | |
(618) 343-6005 | |
(618) 343-9114 |
Full Name | Pc Associates, Llc |
---|---|
Speciality | Family Medicine |
Location | 501 Beltline Road, Ste 20-d, Collinsville, Illinois |
Authorized Official Name and Position | James B. Davis (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6182574644 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pc Associates, Llc 4500 Memorial Dr Medical Affairs Credentialing Department Belleville IL 62226-5360 Ph: (618) 257-4644 | Pc Associates, Llc 501 Beltline Road, Ste 20-d Collinsville IL 62234-4410 Ph: (618) 343-6005 |
NPI Number | 1982917183 |
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Provider Enumeration Date | 07/16/2010 |
Last Update Date | 02/21/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982917183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Pc Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1095 Beltline Road, Suite 500, Collinsville, IL 62234 Phone: 618-343-6005 Fax: 618-343-9114 | |
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