Individual provider · Type 1 NPI

Susan M. Mettille, PA-C

Physician Assistant · Peoria, IL

NPI number 1790727410 Active

Practice location

2805 N Knoxville Ave
Peoria, IL 61604-2869

Call (309) 624-9400 Map

Fax (309) 624-2280

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 1790727410

Susan M. Mettille, PA-C's National Provider Identifier is 1790727410, issued on Jun 11, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Peoria, IL. The record was last updated on Feb 19, 2008.