Individual provider · Type 1 NPI

Cynthia K. Dickinson

Medical Physician Assistant · Peoria, IL

NPI number 1952491284 Active

Practice location

200 E Pennsylvania Ave
Peoria, IL 61603-3089

Fax (309) 655-7903

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X041141001/209001084 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1952491284

Cynthia K. Dickinson's National Provider Identifier is 1952491284, issued on Oct 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.