Jayne K Fedor, P.A.C.
NPI #1376538124 in Springfield, Illinois
Provider Information
- NPI Number
- 1376538124
- Entity Type
- Individual
- Name
- Jayne K Fedor, P.A.C.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Physician Assistant - Medical
- Credential
- P.A.C.
- Enumeration Date
- Sep 19, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 751 N RUTLEDGE ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-4909
- Phone
- (217) 545-0173
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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