CLARK ANDERSON

PEORIA, IL
NPI1750460481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085-002809)
Enumeration Date2006-11-03
Last Update Date2014-12-10
Business Address
-- CLARK ANDERSON PA-C
1001 MAIN ST SUITE 500A
PEORIA, IL 61606-1907
Phone number: 309-672-4980
Mailing Address
-- CLARK ANDERSON PA-C
PO BOX 365
MORTON, IL 61550-0365
Phone number: 309-672-4980
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