Individual provider · Type 1 NPI

Courtney Doran I, PA

Medical Physician Assistant · Belleville, IL

NPI number 1306882386 Active

Practice location

340 W Lincoln St
Belleville, IL 62220-1900

Call (618) 233-6044 Map

Fax (618) 233-3287

Mailing address

PO Box 6002
Urbana, IL 61803-6002

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X85001678 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1306882386

Courtney Doran I, PA's National Provider Identifier is 1306882386, issued on Jun 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Belleville, IL. The record was last updated on Jun 5, 2012.