Individual provider · Type 1 NPI

Micah Lee Servis, SA-C

Surgical Physician Assistant · Springfield, IL

NPI number 1467752220 Active

Practice location

747 N Rutledge St, 5th Floor
Springfield, IL 62702-6700

Call (217) 545-5878 Map

Fax (217) 545-2586

Mailing address

PO Box 19679
Springfield, IL 62794-9679

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X238-000264 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1467752220

Micah Lee Servis, SA-C's National Provider Identifier is 1467752220, issued on Oct 27, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Springfield, IL. The record was last updated on Oct 27, 2010.