Individual provider · Type 1 NPI

John R. Soderstrom, P.A.

Physician Assistant · Peoria, IL

NPI number 1871506931 Active

Practice location

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

Call (309) 674-7546 Map

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 1871506931

John R. Soderstrom, P.A.'s National Provider Identifier is 1871506931, issued on Aug 13, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.