Jacob Blasingame, PA-C
NPI #1720619232 in Monticello, Illinois
Provider Information
- NPI Number
- 1720619232
- Entity Type
- Individual
- Name
- Jacob Blasingame, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Feb 3, 2020
- Last Updated
- Dec 13, 2024
Practice Location
- Address
- 1000 MEDICAL CENTER DR
- City
- Monticello
- State
- Illinois
- ZIP Code
- 61856-2116
- Phone
- (217) 762-6241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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