Individual
BRITTANY WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4600 MEMORIAL DR, SUITE 120, BELLEVILLE, IL 62226
(618) 233-2220
(618) 233-2555
Mailing address
4600 MEMORIAL DR, STE. 120, BELLEVILLE, IL 62226-5368
(618) 233-2220
(618) 233-2555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002914
IL
363AM0700X
Medical Physician Assistant
085002914
IL
Other
Enumeration date
12/20/2006
Last updated
08/14/2018
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