NPI 1003556580

Alexandra Roper, MD

Practitioner Surgery Physician Peoria, IL

Practice location

Address: 530 NE Glen Oak Ave, Peoria, IL 61637-3135
Phone: (309) 655-2000
Mailing address: 530 NE Glen Oak Ave, Peoria, IL 61637-0001

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 000000 (IN)

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Registry record

NPI: 1003556580
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2022
Record last updated: 31 Mar 2022

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.