SHARON AYCOCK, PA-C
Physician Assistant
Active
Individual
NPI: 1104813997
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 085000729 (IL) |
Frequently Asked Questions
NPI 1104813997 is the National Provider Identifier for SHARON AYCOCK, PA-C, a Physician Assistant provider located in Peoria, IL. This NPI was enumerated on October 5, 2005.
SHARON AYCOCK, PA-C practices at 200 E PENNSYLVANIA AVE, SUITE 105, Peoria, IL 61603.
Quick Facts
- NPI
- 1104813997
- Type
- Individual
- Enumerated
- Oct 5, 2005
- Last Updated
- Nov 8, 2013
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