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Mrs. Samantha A Mooberry, PA-C
Physician Assistant in Peoria, Illinois
NPI 1225411325

Samantha A Mooberry is a Physician Assistant based in Peoria, IL. Samantha A Mooberry practices in Peoria, IL and has the professional credentials of PA-C. The NPI Number for Samantha A Mooberry is 1225411325 and holds a License No. 085-005497 (Illinois).

The current practice location address for Samantha A Mooberry is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-624-8818.

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
1225411325
Provider Name
Samantha A Mooberry
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
530 Ne Glen Oak Ave, Peoria, IL, 61637-0001
Phone Number
309-624-8818
Fax Number
Provider Enumeration Date
07/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-624-8818
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-624-8818
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085-005497 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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