JERRY PRIDDY, PA-C

PA-C

Physician Assistant

NPI: 1003351115IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgical Physician Assistant

Physician Assistant — Surgical

Code: 363AS0400X

085006117(IL)

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

085006117(IL)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2016

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Contact & Hours

Via practice · 2 locations total

Address: 619 E MASON ST STE 5
SPRINGFIELD, IL 62701
Phone: (217) 545-8000

Locations (2)

Practice Location

619 E MASON ST STE 5, SPRINGFIELD, IL

Practice Location

1301 S KOKE MILL RD, SPRINGFIELD, IL

Quick Facts

NPI: 1003351115
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 2
Years in Practice: 10

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