MS. Alyssa Bene Carroll, PA-C

NPI #1902428808 in Peoria, Illinois

Provider Information

NPI Number: 1902428808
Entity Type: Individual
Name: MS. Alyssa Bene Carroll, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 13, 2020
Last Updated: Aug 17, 2022

Practice Location

Address: 1001 MAIN ST STE 500A
City: Peoria
State: Illinois
ZIP Code: 61606-2038
Phone: (309) 672-4980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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