Organization
ASSOCIATED PHYSICIANS GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE L CARSON (CREDENTIALING SPECIALIST)
(618) 628-8211
Entity
Organization
Contact information
Practice address
509 HAMACHER ST, SUITE 202, WATERLOO, IL 62298-1592
(618) 939-5979
(618) 939-5984
Mailing address
916 TALON DR, SUITE 102, O FALLON, IL 62269-1848
(618) 628-8211
(618) 628-0883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005551
IL
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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