CLARK ANDERSON, PA-C
Physician Assistant
Active
Individual
NPI: 1750460481
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 085-002809 (IL) |
Frequently Asked Questions
NPI 1750460481 is the National Provider Identifier for CLARK ANDERSON, PA-C, a Physician Assistant provider located in Peoria, IL. This NPI was enumerated on November 3, 2006.
CLARK ANDERSON, PA-C practices at 1001 MAIN ST, SUITE 500A, Peoria, IL 61606.
Quick Facts
- NPI
- 1750460481
- Type
- Individual
- Enumerated
- Nov 3, 2006
- Last Updated
- Dec 10, 2014
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