Individual
CODY JASON STRAWSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3313
(217) 383-4014
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006787
IL
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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