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1013901487
PC ASSOCIATES ,LLC
BELLEVILLE, IL
NPI
1013901487
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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
2005-08-31
Last Update Date
2013-02-25
Business Address
PC ASSOCIATES ,LLC
4600 MEMORIAL DRIVE STE. 220
BELLEVILLE, IL 62226
Phone number: 618-235-6191
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Mailing Address
PC ASSOCIATES ,LLC
4500 MEMORIAL DR MEDICAL AFFAIRS CREDENTIALING DEPARTMENT
BELLEVILLE, IL 62226-5360
Phone number: 618-257-4644
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