Angie M Eubanks, PAC Valid NPI

Individual provider · Physician Assistant · Pinckneyville, IL

NPI

1306800396

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

085-000595 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2006-04-14

Last updated

2023-07-10