Search › Missouri › Physician Assistant
Timothy Brazeal, MS, ATC, PA
NPI 1083933485 · on the registry since 2010
Practice
- Address
- 331 Hospital Dr
Suite D
Lebanon, MO 65536 - Phone
- (417) 533-6315
- Fax
- (417) 533-6320
- Organisation at this address
- Mercy St John'S
St Johns Clinic Inc
Mercy Hospital Lebanon
St John'S Hospital Lebanon
Forefront Dermatology, S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Athletic Trainer
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri