Branden Lee Mossman, P.A.-C

NPI #1194184911 in Evanston, Illinois

Provider Information

NPI Number: 1194184911
Entity Type: Individual
Name: Branden Lee Mossman, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Feb 22, 2016
Last Updated: Jun 17, 2019

Practice Location

Address: 2650 RIDGE AVE # 4210
City: Evanston
State: Illinois
ZIP Code: 60201
Phone: (847) 570-1010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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