Individual provider · Type 1 NPI

Brian Robert Shull, RPA-C

Medical Physician Assistant · Rochester, NY

NPI number 1114001443 Active

Practice location

10 Hagen Dr, Ste 350
Rochester, NY 14625-2660

Fax (585) 385-5611

Mailing address

33 Furman Cres
Rochester, NY 14620-2801

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X007747 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1114001443

Brian Robert Shull, RPA-C's National Provider Identifier is 1114001443, issued on Oct 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Jul 8, 2007.