MRS. Abigail Boethin, P.A.-C

NPI #1023369212 in Urbana, Illinois

Provider Information

NPI Number: 1023369212
Entity Type: Individual
Name: MRS. Abigail Boethin, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Sep 27, 2012
Last Updated: Jun 11, 2021

Practice Location

Address: 611 W PARK ST
Address 2: FAPC
City: Urbana
State: Illinois
ZIP Code: 61801
Phone: (217) 904-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X

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