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1003120387
PC ASSOCIATE, LLC
BELLEVILLE, IL
NPI
1003120387
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Entity Type
Organization
Authorized Contact
JAMES B. DAVIS
Executive Director
618-257-4644
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2010-07-29
Last Update Date
2013-02-25
Business Address
PC ASSOCIATE, LLC
4600 MEMORIAL DR STE 160
BELLEVILLE, IL 62226-5368
Phone number: 618-235-0460
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Mailing Address
PC ASSOCIATE, LLC
4500 MEMORIAL DR MEDICAL AFFAIRS CREDENTIALING DEPARTMENT
BELLEVILLE, IL 62226-5360
Phone number: 618-257-4644
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