Charles Brill

NPI 1073698643 - Physician Assistant - 363A00000X

NPI Details
NPI 1073698643
Gender Male
Enumeration Date 10/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
650 JOEL DRIVE
BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL KY, 42223-5349, US
Phone (270) 798-8727
Fax (270) 956-0180
Business Location
650 JOEL DRIVE
BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL KY, 42223-5349, US
Phone (270) 798-8727
Fax (270) 956-0180
Toxanomy
Taxonomy Code 363A00000X
License State Nebraska
License Number 1066129
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According to our database, Charles Brill NPI is 1073698643, taxonomy code is 363A00000X and license number is 1066129, license state is located at Nebraska. Charles Brill physically located at 650 Joel Drive, Fort Campbell KY, 42223-5349. NPI Number Charles Brill has the Individual type.

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1073698643 NPI number is provided on an as is basis without warranty of any kind. 1073698643 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Brill are for informational purposes only.