person
Randy Joseph Brush, PA
Medical Physician Assistant in South Bend, Indiana
NPI 1902141237

Randy Joseph Brush is a Medical Physician Assistant based in South Bend, IN and is specialized in Medical. Randy Joseph Brush practices in South Bend, IN and has the professional credentials of PA. The NPI Number for Randy Joseph Brush is 1902141237 and holds a License No. 99054700A (Indiana).

The current practice location address for Randy Joseph Brush is 6301 University Commons, South Bend, IN and can be reached out via phone at 574-234-4016 and via fax at 574-251-2095.

Location: 6301 University Commons, South Bend, IN, 46635-1571
person
Provider Profile Details
NPI Number
1902141237
Provider Name
Randy Joseph Brush
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
6301 University Commons, South Bend, IN, 46635-1571
Phone Number
574-234-4016
Fax Number
574-251-2095
Provider Enumeration Date
11/27/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6301 University Commons
City
State
Zip
46635-1571
Phone Number
574-234-4016
Fax Number
574-251-2095
person
Provider Business Mailing Address Details
Address
6301 University Commons
City
State
Zip
46635-1571
Phone Number
574-234-4016
Fax Number
574-251-2095
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
99054700A (Indiana)
Definition
Definition to come...
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