Richard S Seaboch, PA

NPI #1043227846 in Peoria, Illinois

Provider Information

NPI Number: 1043227846
Entity Type: Individual
Name: Richard S Seaboch, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 2, 2006
Last Updated: Aug 31, 2010

Practice Location

Address: 5405 N KNOXVILLE AVE
City: Peoria
State: Illinois
ZIP Code: 61614
Phone: (309) 691-4410

Specialties & Taxonomy Codes

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

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