Timothy Charles Brazeal, MS, ATC, PA

NPI #1083933485 in Lebanon, Missouri

Provider Information

NPI Number: 1083933485
Entity Type: Individual
Name: Timothy Charles Brazeal, MS, ATC, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MS, ATC, PA
Enumeration Date: May 25, 2010
Last Updated: Jul 23, 2024

Practice Location

Address: 331 HOSPITAL DR
Address 2: SUITE D
City: Lebanon
State: Missouri
ZIP Code: 65536-9217
Phone: (417) 533-6315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physician Assistant	363A00000X	Primary

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