MR. BRIAN SHORE, PA C
Physician Assistant
Active
Individual
NPI: 1376544585
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 085002428 (IL) |
Frequently Asked Questions
NPI 1376544585 is the National Provider Identifier for MR. BRIAN SHORE, PA C, a Physician Assistant provider located in Champaign, IL. This NPI was enumerated on August 10, 2005.
MR. BRIAN SHORE, PA C practices at 2110 FOX DR, Champaign, IL 61820.
Quick Facts
- NPI
- 1376544585
- Type
- Individual
- Enumerated
- Aug 10, 2005
- Last Updated
- Mar 17, 2015
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