NPI 1033395009

Brandon N. Landsverk, PA

Practitioner Physician Assistant Springfield, IL

Practice location

Address: 900 N 1st St, Springfield, IL 62702
Phone: (217) 528-7541
Mailing address: 1025 S 6th St, Springfield, IL 62703-2403

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085003178 (IL)

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Registry record

NPI: 1033395009
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jan 2008
Record last updated: 21 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.