Stephanie J Epperson in Peoria - Medical

Stephanie J Epperson - NPI 1396934451

Stephanie J Epperson is a Medical in Peoria, Illinois. Stephanie J Epperson practices all healthcare services and medical treatments related to Medical. The NPI Number for Stephanie J Epperson is 1396934451. The last update date is 2009-06-11.

Stephanie J Epperson's current location address is 7301 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3095895900 and fax number 3095894631. The mailing address for Stephanie J Epperson is 7301 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephanie J Epperson
Address 7301 N Knoxville Ave, Peoria, Illinois
Phone Number 3095895900
Fax Number 3095894631
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1396934451
Provider Enumeration Date 2007-10-15
Last Updated Date 2009-06-11

Provider Mailing Address Detail

Address 7301 N Knoxville Ave
City Peoria
State Illinois (IL)
Post Code 616142017
Phone Number 3095895900
Fax Number 3095894631

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 085-003079
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Stephanie J Epperson

What is the Stephanie J Epperson's unique identification number?

The Stephanie J Epperson has been assigned the NPI (National Provider Identifier) Number 1396934451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Stephanie J Epperson?

The Stephanie J Epperson is physically situated at 7301 N Knoxville Ave, in the city of Peoria, state of IL, with the postal code 616142017.

What is Stephanie J Epperson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Stephanie J Epperson is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1396934451 to Stephanie J Epperson?

The Centers for Medicare & Medicaid Services originally issued the 1396934451 to Stephanie J Epperson on 2007-10-15.

As of what date was the information pertaining to Stephanie J Epperson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stephanie J Epperson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-06-11.

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