ERICA DEFORD, PA
Physician Assistant - Medical
Active
Individual
NPI: 1306020334
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 085003126 (IL) |
Frequently Asked Questions
NPI 1306020334 is the National Provider Identifier for ERICA DEFORD, PA, a Physician Assistant - Medical provider located in Peoria, IL. This NPI was enumerated on December 27, 2007.
ERICA DEFORD, PA practices at 2805 N KNOXVILLE AVE, Peoria, IL 61604.
Quick Facts
- NPI
- 1306020334
- Type
- Individual
- Enumerated
- Dec 27, 2007
- Last Updated
- Oct 2, 2009
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