Individual
DARCY JEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2570 24TH ST, SUITE 124, ROCK ISLAND, IL 61201-5394
(309) 779-3670
(309) 779-3675
Mailing address
2570 24TH ST, SUITE 124, ROCK ISLAND, IL 61201-5394
(309) 779-3670
(309) 779-3675
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001994
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K04485
MEDICARE IND. PROVIDER #
IL
Enumeration date
01/23/2006
Last updated
02/05/2015
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