Amy J Stites, PA-C
NPI #1043676109 in Bloomington, Illinois
Provider Information
- NPI Number
- 1043676109
- Entity Type
- Individual
- Name
- Amy J Stites, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 5, 2016
- Last Updated
- Jun 28, 2024
Practice Location
- Address
- 1228 TOWANDA AVE STE 1
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-3469
- Phone
- (309) 454-5900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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