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Individual
BRANDON JAIME EGNER
Active
Individual
BRANDON JAIME EGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
66952
MT
363A00000X
Physician Assistant
Primary
PA.70130079
WA
363AM0700X
Medical Physician Assistant
MA056269
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
MA056269
PA
Enumeration date
08/01/2013
Last updated
07/09/2026
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