Pc Associates, Llc | |
4017 Illinios Rt. 159 Ste 101 Smithton IL 62285 | |
(618) 257-2875 | |
(618) 257-2893 |
Full Name | Pc Associates, Llc |
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Speciality | Family Medicine |
Location | 4017 Illinios Rt. 159, Smithton, 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 Office Belleville IL 62226-5360 Ph: (618) 257-4644 | Pc Associates, Llc 4017 Illinios Rt. 159 Ste 101 Smithton IL 62285 Ph: (618) 257-2875 |
NPI Number | 1619280112 |
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Provider Enumeration Date | 07/26/2010 |
Last Update Date | 02/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619280112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Msa Alliance, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4017 Illinois Route 159,, Suite 101, Smithton, IL 62285 Phone: 618-257-2875 Fax: 618-257-2895 |