Robert J Dizes JR., PA-C

NPI #1871686790 in Shiloh, Illinois

Provider Information

NPI Number: 1871686790
Entity Type: Individual
Name: Robert J Dizes JR., PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 2, 2006
Last Updated: Aug 19, 2022

Practice Location

Address: 1414 CROSS ST STE 230
City: Shiloh
State: Illinois
ZIP Code: 62269-2988
Phone: (618) 607-1260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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