Clark Anderson, PA-C

NPI #1750460481 in Peoria, Illinois

Provider Information

NPI Number: 1750460481
Entity Type: Individual
Name: Clark Anderson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 3, 2006
Last Updated: Dec 10, 2014

Practice Location

Address: 1001 MAIN ST
Address 2: SUITE 500A
City: Peoria
State: Illinois
ZIP Code: 61606-1907
Phone: (309) 672-4980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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