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Brandon Trent Broady, LMP

Specialist in Lynnwood, WA. Individual provider (NPI-1).

NPI number1043361900
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1043361900
Entity type
Individual (NPI-1)
Name
Mr. Brandon Trent Broady
Credential
LMP
Sex
Male
Sole proprietor
No
Enumeration date
Jan 16, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistMA00018093WAYes

Practice location

3501 Shelby Rd. Suite C
Lynnwood, WA 98087

Phone 425-745-9052 · Fax 425-745-3372

Mailing address

2620 Center Rd
Everett, WA 98204-4758

Phone 425-290-6024 · Fax 425-290-8016

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