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JASON ROACH, PA-C
PA-C
Physician Assistant
NPI: 1104179795Individual
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
085.004474(IL)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2012
Contact & Hours
- Address
- 530 NE GLEN OAK AVE
PEORIA, IL 61637 - Phone
- (309) 655-2036
Quick Facts
- NPI
- 1104179795
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 14
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