Individual
ROBERT EDWARD VAN METER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 W REYNOLDS ST, PONTIAC, IL 61764
(815) 842-2828
Mailing address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 842-2828
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006605
IL
363A00000X
Physician Assistant
PA.0005294
CO
Other
Enumeration date
03/02/2018
Last updated
11/22/2019
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