Individual provider · Type 1 NPI

Stuart Holland Berryman, PA-C

Medical Physician Assistant · Peoria, IL

NPI number 1093774705 Active

Practice location

4909 N Glen Park Place Rd
Peoria, IL 61614-4676

Fax (309) 282-0500

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

16 other providers at this address

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About NPI 1093774705

Stuart Holland Berryman, PA-C's National Provider Identifier is 1093774705, issued on Mar 21, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.