Brandon N. Landsverk PA

NPI 1033395009 - Physician Assistant - 363A00000X

NPI Details
NPI 1033395009
Gender Male
Enumeration Date 01/21/2008
Last Updated 07/31/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
SPRINGFIELD IL, 62702-3749, US
Phone (217) 528-7541
Business Location
1025 S 6TH ST
SPRINGFIELD IL, 62703-2403, US
Phone (217) 528-7541
Taxonomy Code 363A00000X
License State Illinois
License Number 085003178
Remove 1033395009 NPI Number

According to our database, Brandon N. Landsverk PA NPI is 1033395009, taxonomy code is 363A00000X and license number is 085003178, license state is located at Illinois. Brandon N. Landsverk PA physically located at 900 N. 1st Street, Springfield IL, 62702-3749. NPI Number Brandon N. Landsverk PA has the Individual type.

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1033395009 NPI number is provided on an as is basis without warranty of any kind. 1033395009 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon N. Landsverk PA are for informational purposes only.