Sharon Aycock, PA-C
Physician Assistant in Peoria, IL. Individual provider (NPI-1).
NPI number1104813997
StatusActive
Last updated in NPPESNov 8, 2013
Details
- NPI
- 1104813997
- Entity type
- Individual (NPI-1)
- Name
- Sharon Aycock
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2005
- Last updated
- Nov 8, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085000729 | IL | Yes |
Practice location
200 E Pennsylvania AveSuite 105
Peoria, IL 61603-3089
Phone 309-655-7888 · Fax 309-655-7905
Mailing address
200 E Pennsylvania AveSuite 105
Peoria, IL 61603-3089
Phone 309-655-7888 · Fax 309-655-7905
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