| NPI | 1053387779 |
|---|---|
| Other Name | PHYSICIAN ASSISTANT GROUP |
| Entity Type | Organization |
| Authorized Contact | ROBERT T CLARKE President And CEO 217-788-3340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-22 |