Darcy Jean Anderson in Rock Island - Physician Assistant

Darcy Jean Anderson - NPI 1407826589

Darcy Jean Anderson is a Physician Assistant in Rock Island, Illinois. Darcy Jean Anderson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Darcy Jean Anderson is 1407826589. The last update date is 2015-02-05.

Darcy Jean Anderson's current location address is 2570 24th St, Rock Island, Illinois. You can contact this provider via phone number 3097793670 and fax number 3097793675. The mailing address for Darcy Jean Anderson is 2570 24th St, Rock Island, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Darcy Jean Anderson
Address 2570 24th St, Rock Island, Illinois
Phone Number 3097793670
Fax Number 3097793675
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1407826589
Provider Enumeration Date 2006-01-23
Last Updated Date 2015-02-05

Provider Mailing Address Detail

Address 2570 24th St
City Rock Island
State Illinois (IL)
Post Code 612015394
Phone Number 3097793670
Fax Number 3097793675

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 085-001994
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
K04485 IL MEDICARE IND. PROVIDER #

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FAQs about Darcy Jean Anderson

What is the unique provider identifier assigned to Darcy Jean Anderson?

The Darcy Jean Anderson has been issued the NPI (National Provider Identifier) 1407826589 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Darcy Jean Anderson's facilities are geographically located?

The facilities of Darcy Jean Anderson are physically situated at the following location: 2570 24Th St, Rock Island, IL, 612015394.

What is Darcy Jean Anderson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Darcy Jean Anderson is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

When was the Darcy Jean Anderson's 1407826589 issued?

The Darcy Jean Anderson's 1407826589 was issued on 2006-01-23.

As of what date were the details related to Darcy Jean Anderson most recently updated or revised?

The information pertaining to Darcy Jean Anderson, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-05.

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