PC ASSOCIATE, LLC

BELLEVILLE, IL
NPI1003120387
Entity TypeOrganization
Authorized ContactJAMES B. DAVIS
Executive Director
618-257-4644
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2010-07-29
Last Update Date2013-02-25
Business Address
PC ASSOCIATE, LLC
4600 MEMORIAL DR STE 160
BELLEVILLE, IL 62226-5368
Phone number: 618-235-0460
Mailing Address
PC ASSOCIATE, LLC
4500 MEMORIAL DR MEDICAL AFFAIRS CREDENTIALING DEPARTMENT
BELLEVILLE, IL 62226-5360
Phone number: 618-257-4644