Individual
ABIGAIL ROSE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 N WILLIAM KUMPF BLVD, PEORIA, IL 61605-2507
(309) 676-5546
(309) 676-5045
Mailing address
1112 WILLIAMSBURG DR, CHARLESTON, IL 61920-4335
(217) 503-7065
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009024
IL
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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