Individual
BRIAN ROBERT SHULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
10 HAGEN DR, STE 350, ROCHESTER, NY 14625-2660
(585) 385-5555
(585) 385-5611
Mailing address
33 FURMAN CRES, ROCHESTER, NY 14620-2801
(518) 524-4314
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007747
NY
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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