MR. Brian Neal Shore, PA C

NPI #1376544585 in Champaign, Illinois

Provider Information

NPI Number
1376544585
Entity Type
Individual
Name
MR. Brian Neal Shore, PA C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA C
Enumeration Date
Aug 10, 2005
Last Updated
Mar 17, 2015

Practice Location

Address
2110 FOX DR
ZIP Code
61820-7553
Phone
(217) 366-1237

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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