MR. Christopher John Differding, PA-C
NPI #1295002715 in Spring Valley, Illinois
Provider Information
- NPI Number
- 1295002715
- Entity Type
- Individual
- Name
- MR. Christopher John Differding, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 29, 2011
- Last Updated
- Aug 3, 2020
Practice Location
- Address
- 600 E 1ST ST
- City
- Spring Valley
- State
- Illinois
- ZIP Code
- 61362-1512
- Phone
- (815) 664-2617
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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