Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD FASSOLA, PA-C
ActiveRICHARD FASSOLA, PA-C is a Physician Assistant healthcare provider located in EUREKA, Illinois. NPI 1720331671 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EUREKA, IL
Registration Details
- NPI Number
- 1720331671
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2012 (13.806698406007 yrs)
- Last Updated
- Jun 15, 2016
- License
-
085-000933 (IL)
Practice Information
- Address
-
1932 S MAIN STEUREKA, IL, 615301666Browse IL providers · Browse ZIP 61530
- Phone
- 3094675000
- Fax
- 3094671500
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in EUREKA, IL
| Name | Credential | NPI |
|---|---|---|
| TAMRA BRISBIN | PA | 1932161965 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.