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Brian Shore, PA C
NPI 1376544585 · on the registry since 2005
Practice
- Address
- 2110 Fox Dr
Champaign, IL 61820 - Phone
- (217) 366-1237
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-03-17
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 Illinois