NPI 1215290416

Shad W Brophy, PAC

Practitioner Physician Assistant Dickinson, ND

Practice location

Address: 227 16th St W, Dickinson, ND 58601-4675
Phone: (701) 227-7900
Fax: (701) 227-7985
Mailing address: 30 7th St W, Dickinson, ND 58601-4335

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PAC0482 (ND)

Other Physician Assistant providers in North Dakota →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 102455 (MT)

Registry record

NPI: 1215290416
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2012
Record last updated: 3 Jan 2022

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.