Individual provider · Type 1 NPI

Mary L. Brandenburg, PA

Physician Assistant · Carbondale, IL

NPI number 1649385873 Active

Practice location

1301 E Walnut St
Carbondale, IL 62901-5004

Call (618) 457-3371 Map

Fax (618) 457-8931

Mailing address

PO Box 577
Carterville, IL 62918-0577

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085-001021 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1649385873

Mary L. Brandenburg, PA's National Provider Identifier is 1649385873, issued on Aug 20, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Carbondale, IL. The record was last updated on Sep 13, 2012.