JAMES MANGERSON, PA-C

Physician Assistant

Active Individual
NPI: 1093078446

Practice Address

515 NE GLEN OAK AVE STE 202
Peoria, IL 61603

Phone: (309) 624-4455

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 085010994 (IL)

Frequently Asked Questions

NPI 1093078446 is the National Provider Identifier for JAMES MANGERSON, PA-C, a Physician Assistant provider located in Peoria, IL. This NPI was enumerated on June 20, 2012.
JAMES MANGERSON, PA-C practices at 515 NE GLEN OAK AVE STE 202, Peoria, IL 61603.

Quick Facts

NPI
1093078446
Type
Individual
Enumerated
Jun 20, 2012
Last Updated
Jan 27, 2025

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