Amanda L. Shull, PA-C

NPI #1962638130 in Springfield, Illinois

Provider Information

NPI Number: 1962638130
Entity Type: Individual
Name: Amanda L. Shull, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 2, 2009
Last Updated: May 20, 2020

Practice Location

Address: 900 N. 1ST STREET
City: Springfield
State: Illinois
ZIP Code: 62702-3749
Phone: (217) 525-0210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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