Physician Assistant
Bloomington, IL
Specialty
Physician Assistant
Credential
P.A.-C
NPI
1902890932
1505 Eastland Dr., Bloomington, IL 61701
(309) 661-5004Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in physician assistant procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363A00000X