Dalton Rea

Physician Assistant · Peoria, IL

Individual Active NPI

NPI number 1336974476

Practice location

3335 N Sterling Ave
Peoria, IL 61604-1837
Phone
(309) 687-5900

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NPI record

NPI
1336974476
Entity type
Individual (Type 1)
Enumeration date
September 6, 2024
Last updated
September 6, 2024
Certified
September 6, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085010753 IL

About Dalton Rea

Dalton Rea is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 3335 N Sterling Ave, Peoria, IL 61604-1837. The NPI number 1336974476 was assigned on September 6, 2024 and the record was last updated on September 6, 2024.

Dalton Rea lists a license in the registry: #085010753 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dalton Rea?

The NPI number is 1336974476.

What is the phone number of Dalton Rea?

The phone number listed for the practice location is (309) 687-5900.

Where is Dalton Rea located?

3335 N Sterling Ave, Peoria, IL 61604-1837.

What is the taxonomy code for Dalton Rea?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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