Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | MD429275 | PA |
NPI | 1114126364 |
---|---|
Provider Name | Dr. Rebecca Jane Byler Dann |
First Address | Peoria, IL 61605-2576 |
Second Address | Peoria, IL 61605-2576 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2007 |
Last Update Date | 04/08/2010 |