person
Andrew K. Guardia, PA
Medical Physician Assistant in Springfield, Illinois
NPI 1598950883

Andrew K. Guardia is a Medical Physician Assistant based in Springfield, IL and is specialized in Medical. Andrew K. Guardia practices in Springfield, IL and has the professional credentials of PA. The NPI Number for Andrew K. Guardia is 1598950883 and holds a License No. 085003035 (Illinois).

The current practice location address for Andrew K. Guardia is 1025 S 6Th St, Springfield, IL and can be reached out via phone at 217-528-7541.

Location: 1025 S 6Th St, Springfield, IL, 62703-2403
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Provider Profile Details
NPI Number
1598950883
Provider Name
Andrew K. Guardia
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1025 S 6Th St, Springfield, IL, 62703-2403
Phone Number
217-528-7541
Fax Number
Provider Enumeration Date
09/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K45543 01 IL MEDICARE
P00431366 01 IL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1025 S 6Th St
City
State
Zip
62703-2403
Phone Number
217-528-7541
Fax Number
person
Provider Business Mailing Address Details
Address
1025 S 6Th St
City
State
Zip
62703-2403
Phone Number
217-528-7541
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085003035 (Illinois)
Definition
Definition to come...
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