Individual provider · Type 1 NPI

Erica M. Deford, PA

Medical Physician Assistant · Peoria, IL

NPI number 1306020334 Active

Practice location

2805 N Knoxville Ave
Peoria, IL 61604-2869

Call (309) 624-9400 Map

Fax (309) 624-2280

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085003126 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1306020334

Erica M. Deford, PA's National Provider Identifier is 1306020334, issued on Dec 27, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Peoria, IL. The record was last updated on Oct 2, 2009.