Gregory Scott Churchill, PHYSICIAN ASSISTANT Valid NPI

Individual provider · Medical Physician Assistant · O Fallon, IL

NPI

1053390237

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

Sex

Male

Sole proprietor

No

Enumerated

2006-01-16

Last updated

2021-03-25