Individual
CASY WILLAIM BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NRP, CCP
Contact information
Practice address
3415 N ROCHELLE LN, PEORIA, IL 61604-1076
(309) 494-6200
Mailing address
3415 N ROCHELLE LN, PEORIA, IL 61604-1076
(309) 494-6200
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
060083516
IL
146L00000X
Paramedic
PM-99-509-85
IA
Other
Enumeration date
01/20/2015
Last updated
03/13/2015
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