Individual provider · Type 1 NPI

Joseph Troy Gustafson

Physician Assistant · Peoria, IL

NPI number 1316850605 Active

Practice location

10404 N Dahlia Ct
Peoria, IL 61615-8882

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1316850605

Joseph Troy Gustafson's National Provider Identifier is 1316850605, issued on Sep 26, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Peoria, IL. The record was last updated on Sep 26, 2026.