Individual
BRANDI WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
611 W PARK ST, EMERGENCY MEDICINE, URBANA, IL 61801-2529
(217) 383-3313
(217) 383-4014
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005953
IL
363A00000X
Physician Assistant
PA3177
KY
Other
Enumeration date
07/24/2016
Last updated
06/21/2023
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