NPI 1013901487
PC Associates ,LLC
Practice location
- Address
- 4600 Memorial Drive STE. 220, Belleville, IL 62226
- Phone
- (618) 235-6191
- Fax
- (618) 235-6716
- Mailing address
- 4500 Memorial Dr Medical Affairs Credentialing Department, Belleville, IL 62226-5360
Authorised official
- Name
- James B. Davis
- Title
- Executive Director
- Phone
- (618) 257-4644
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1013901487
- Entity type
- Organization
- NPI issued
- 31 Aug 2005
- Record last updated
- 25 Feb 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.