Julie Marie Preston PA-C

NPI 1306026224 - Physician Assistant - 363AM0700X

NPI Details
NPI 1306026224
Gender Female
Enumeration Date 11/08/2007
Last Updated 07/02/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
1 MEMORIAL DR
PHYSCIANS PLAZA EAST STE 110
DECATUR IL, 62526-6303, US
Phone (217) 422-2442
Fax (217) 424-9431
Business Location
3798 E. FULTON AVE
DECATUR IL, 62521, US
Phone (217) 864-2700
Fax (217) 864-3930
Toxanomy
Taxonomy Code 363AM0700X
License State Illinois
License Number 385000284
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According to our database, Ms. Julie Marie Preston PA-C NPI is 1306026224, taxonomy code is 363AM0700X and license number is 385000284, license state is located at Illinois. Julie Marie Preston PA-C physically located at 1 Memorial Dr, Decatur IL, 62526-6303. NPI Number Julie Marie Preston PA-C has the Individual type.

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1306026224 NPI number is provided on an as is basis without warranty of any kind. 1306026224 is maintained by the National Plan & Provider Enumeration System. The contents of Julie Marie Preston PA-C are for informational purposes only.