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Samantha Ashley Ward, DO
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1174104954

Samantha Ashley Ward is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Samantha Ashley Ward practices in Peoria, IL and has the professional credentials of DO. The NPI Number for Samantha Ashley Ward is 1174104954 and holds a License No. (Illinois).

The current practice location address for Samantha Ashley Ward is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 413-770-2133.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174104954
Provider Name
Samantha Ashley Ward
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Phone Number
413-770-2133
Fax Number
Provider Enumeration Date
04/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
413-770-2133
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
413-770-2133
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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