Julie A Desutter, PA

NPI #1093847600 in Peoria, Illinois

Provider Information

NPI Number
1093847600
Entity Type
Individual
Name
Julie A Desutter, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Mar 9, 2007
Last Updated
Dec 11, 2008

Practice Location

Address
200 E PENNSYLVANIA AVE
Address 2
SUITE 212
City
Peoria
ZIP Code
61603-3089
Phone
(309) 676-8123

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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