BRIAN NEAL SHORE

CHAMPAIGN, IL
NPI1376544585
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085002428)
Enumeration Date2005-08-10
Last Update Date2015-03-17
Business Address
Mr. BRIAN NEAL SHORE PA C
2110 FOX DR
CHAMPAIGN, IL 61820-7553
Phone number: 217-366-1237
Mailing Address
Mr. BRIAN NEAL SHORE PA C
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3909
Phone number: 217-366-8107
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