Susan M Canty, PA-C

NPI #1952351256 in Peoria, Illinois

Provider Information

NPI Number: 1952351256
Entity Type: Individual
Name: Susan M Canty, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 10, 2006
Last Updated: Oct 19, 2011

Practice Location

Address: 1001 MAIN ST STE 300
City: Peoria
State: Illinois
ZIP Code: 61606-2036
Phone: (309) 495-0250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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