JANTZEN PRIDE, MD
Student in an Organized Health Care Education/Training Program
Active
Individual
NPI: 1225881162
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | 90200000X (IL) |
Frequently Asked Questions
NPI 1225881162 is the National Provider Identifier for JANTZEN PRIDE, MD, a Student in an Organized Health Care Education/Training Program provider located in Peoria, IL. This NPI was enumerated on April 10, 2024.
JANTZEN PRIDE, MD practices at 815 MAIN ST STE C, Peoria, IL 61602.
Quick Facts
- NPI
- 1225881162
- Type
- Individual
- Enumerated
- Apr 10, 2024
- Last Updated
- Apr 10, 2024
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