NPI 1003501974

Eric Tyler Amparan, MD

Practitioner Student in an Organized Health Care Education/Training Program Peoria, IL

Practice location

Address: 530 NE Glen Oak Ave, Peoria, IL 61637-0001
Phone: (309) 655-2274

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003501974
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2023
Record last updated: 6 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.