Individual provider · Type 1 NPI
Randy Joseph Brush, P.A.
Medical Physician Assistant · South Bend, IN
NPI number
1902141237
Active
Practice location
6301 University Commons, Suite 210
South Bend, IN 46635-1571
Fax (574) 251-2095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 99054700A (IN) |
Medical Physician Assistant: Definition to come...
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About NPI 1902141237
Randy Joseph Brush, P.A.'s National Provider Identifier is 1902141237, issued on Nov 27, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in South Bend, IN. The record was last updated on Nov 27, 2012.