Troy Pequette

NPI #1184714487 in Peoria, Illinois

Provider Information

NPI Number: 1184714487
Entity Type: Individual
Name: Troy Pequette
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Oct 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2900 N KNOXVILLE AVE
City: Peoria
State: Illinois
ZIP Code: 61603-1748
Phone: (309) 688-3616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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