Andrea Jo Mitts

NPI #1588379770 in Peoria, Illinois

Provider Information

NPI Number: 1588379770
Entity Type: Individual
Name: Andrea Jo Mitts
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 23, 2023
Last Updated: Jan 23, 2023

Practice Location

Address: 530 NE GLEN OAK AVE
City: Peoria
State: Illinois
ZIP Code: 61637-0001
Phone: (309) 265-2633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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