Individual
ELIZABETH BRIGHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1906
Mailing address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2011008021
MO
363A00000X
Physician Assistant
PENDING
IL
Other
Enumeration date
01/18/2008
Last updated
01/16/2015
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