Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLARK ANDERSON, PA-C
ActiveCLARK ANDERSON, PA-C is a Physician Assistant healthcare provider located in PEORIA, Illinois. NPI 1750460481 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PEORIA, IL
Registration Details
- NPI Number
- 1750460481
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2006 (19.593269817558 yrs)
- Last Updated
- Dec 10, 2014
- License
-
085-002809 (IL)
Practice Information
- Address
-
1001 MAIN STSUITE 500APEORIA, IL, 616061907Browse IL providers · Browse ZIP 61606
- Phone
- 3096724980
- Fax
- 3096712979
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN SNOW | PA-C | 1275533317 |
| SHARON AYCOCK | PA-C | 1104813997 |
| LISA K NIELSEN | PA-C | 1982688669 |
| CONSTANCE M FREIDINGER | PA-C | 1487639118 |
| MR. KIM KEITH WIESE | PA-C | 1801866744 |
| MR. RANDALL LANE WILCOXEN | PAC | 1851363022 |
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.