PC Associates, LLC
Family Medicine in Collinsville, IL. Organization (NPI-2).
NPI number1982917183
StatusActive
Last updated in NPPESFeb 21, 2013
Details
- NPI
- 1982917183
- Entity type
- Organization (NPI-2)
- Legal business name
- PC Associates, LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 16, 2010
- Last updated
- Feb 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
501 Beltline Road, Ste 20-DCollinsville, IL 62234-4410
Phone 618-343-6005 · Fax 618-343-9114
Mailing address
4500 Memorial DrMedical Affairs Credentialing Department
Belleville, IL 62226-5360
Phone 618-257-4644 · Fax 618-257-6946
Authorized official
James B. Davis
Executive Director
6182574644
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- Mettisa R. K. McLeod, MDNPI 1235245481
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- Raj M Sajid, M.D.NPI 1265529630
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All 11 Family Medicine Physician providers in Collinsville · All 356 providers in Collinsville
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