Organization
ASSOCIATED PHYSICIANS GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHURCH (PRACTICE MANAGER)
(618) 628-8211
Entity
Organization
Contact information
Practice address
916 TALON DR STE 102, O FALLON, IL 62269-1848
(618) 628-8211
(618) 628-0883
Mailing address
845 N NEW BALLAS CT, SUITE 120, CREVE COEUR, MO 63141-7134
(314) 200-0997
(618) 628-0883
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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