MISS Alisea Marie Hibbs, PA

NPI #1689356404 in Springfield, Illinois

Provider Information

NPI Number: 1689356404
Entity Type: Individual
Name: MISS Alisea Marie Hibbs, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 2, 2023
Last Updated: Jan 30, 2025

Practice Location

Address: 2200 WABASH AVE
City: Springfield
State: Illinois
ZIP Code: 62704-5352
Phone: (217) 528-7541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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