Organization
ASSOCIATED PHYSICIANS GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S VICK DC (OWNER)
(618) 628-8211
Entity
Organization
Contact information
Practice address
845 N BALLAS COURT, SUITE 120, CREVE COUER, MO 63141
(618) 628-8211
(618) 628-0883
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
225100000X
Physical Therapist
Primary
2011029420
MO
Other
Enumeration date
09/26/2012
Last updated
03/28/2013
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