Jacob E Mefford, PA

NPI #1689923013 in Peoria, Illinois

Provider Information

NPI Number: 1689923013
Entity Type: Individual
Name: Jacob E Mefford, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 30, 2012
Last Updated: Jan 30, 2013

Practice Location

Address: 221 NE GLEN OAK AVE
City: Peoria
State: Illinois
ZIP Code: 61636-0001
Phone: (309) 672-5522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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