Laura E Brandt PA-C

NPI 1013997899 - Physician Assistant - 363A00000X

NPI Details
NPI 1013997899
Gender Female
Enumeration Date 01/18/2006
Last Updated 09/22/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
8614 E MILL PLAIN BLVD
SUITE 400
VANCOUVER WA, 98664-2059, US
Phone (360) 254-5267
Fax
Business Location
8614 E MILL PLAIN BLVD
SUITE 400
VANCOUVER WA, 98664-2059, US
Phone (360) 254-5267
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Maryland
License Number C0002219
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According to our database, Laura E Brandt PA-C NPI is 1013997899, taxonomy code is 363A00000X and license number is C0002219, license state is located at Maryland. Laura E Brandt PA-C physically located at 8614 E Mill Plain Blvd, Vancouver WA, 98664-2059. NPI Number Laura E Brandt PA-C has the Individual type.

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1013997899 NPI number is provided on an as is basis without warranty of any kind. 1013997899 is maintained by the National Plan & Provider Enumeration System. The contents of Laura E Brandt PA-C are for informational purposes only.