Search › Illinois › Surgical Physician Assistant
Gary Fisk, PA
NPI 1891708491 · on the registry since 2006
Practice
- Address
- 5405 N Knoxville Ave
Peoria, IL 61614 - Phone
- (309) 691-4410
- Organisation at this address
- Cardiosom, Llc
Osf Healthcare System
Heartcare Midwest , Ltd
Osf Heart & Vascular InstituteInferred from a shared address, not stated in the registry. - Clinicians at this address
- 47
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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