BRUCE A R BRASWELL PA

FAYETTE COUNTY HOSPITAL DISTRICT

Dr BRUCE A R BRASWELL PA is a male medical professional, specializing in Physician Assistant. He graduated in 1997 from University Of Nebraska College Of Medicine.

Contact

FAYETTE COUNTY HOSPITAL DISTRICT

650 W TAYLOR ST
VANDALIA
IL
624711227

Tel: 6182831231

BRUCE A R BRASWELL PA Information

Npi 1619066024
Pac Id 9739127887
Professional Enrollment Id I20140524000010
Last Name BRASWELL
First Name BRUCE
Middle Name A R
Suffix
Gender M
Credential PA
Medical School Name UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year 1997
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FAYETTE COUNTY HOSPITAL DISTRICT
Group Practice Pac Id 0446201156
Number Of Group Practice Members 39
Line 1 Street Address 650 W TAYLOR ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VANDALIA
State IL
Zip Code 624711227
Phone Number 6182831231
Hospital Affiliation Ccn 1 141346
Hospital Affiliation Lbn 1 FAYETTE COUNTY HOSPITAL
Hospital Affiliation Ccn 2 140032
Hospital Affiliation Lbn 2 ST ANTHONYS MEMORIAL HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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