TIMOTHY BRAZEAL, MS, ATC, PA

MS, ATC, PA

Physician Assistant

NPI: 1083933485IndividualAccepts Medicare

Specialties, Licenses & Credentials

Athletic Trainer

Specialist/Technologist — Athletic Trainer

Code: 2255A2300X

200901846(MO)

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

2018004459(MO)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2017

Contact & Hours

Address: 331 HOSPITAL DR, SUITE D
LEBANON, MO 65536
Phone: (417) 533-6315

Quick Facts

NPI: 1083933485
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 9

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