JERRY PRIDDY, PA-C

Physician Assistant

Active Individual
NPI: 1003351115

Practice Address

619 E MASON ST STE 5
Springfield, IL 62701

Phone: (217) 545-8000

Specialties

Specialty Code Primary License
Physician Assistant - Surgical 363AS0400X No 085006117 (IL)
Physician Assistant 363A00000X Yes 085006117 (IL)

Frequently Asked Questions

NPI 1003351115 is the National Provider Identifier for JERRY PRIDDY, PA-C, a Physician Assistant provider located in Springfield, IL. This NPI was enumerated on December 28, 2016.
JERRY PRIDDY, PA-C practices at 619 E MASON ST STE 5, Springfield, IL 62701.

Quick Facts

NPI
1003351115
Type
Individual
Enumerated
Dec 28, 2016
Last Updated
Dec 18, 2024

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