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Jerry Priddy, PA-C
NPI 1003351115 · on the registry since 2016
Practice
- Address
- 619 E Mason St Ste 5
Springfield, IL 62701 - Phone
- (217) 545-8000
- Fax
- (217) 545-2552
- Organisation at this address
- Scan American Springfield Llc
Prairie Cardiovascular Consultants LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 62
Additional practice sites
- 1301 S Koke Mill Rd, Springfield, IL
- 1301 S Koke Mill Rd, Springfield, IL
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Surgical Physician Assistant
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois