Rebecca Barrick
Physician Assistant, Surgical in Peoria, IL. Individual provider (NPI-1).
NPI number1952476103
StatusActive
Last updated in NPPESOct 31, 2023
Details
- NPI
- 1952476103
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Barrick
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2006
- Certification date
- Oct 31, 2023
- Last updated
- Oct 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 085002089 | IL | Yes |
Other names
- Rebecca Studebaker (Former Name)
Practice location
5401 N Knoxville Ave Ste 115Peoria, IL 61614-5068
Phone 309-691-2903 · Fax 309-691-2909
Mailing address
5401 N Knoxville Ave Ste 115Peoria, IL 61614-5095
Phone 309-691-2903 · Fax 309-691-2909
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