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Individual
BRIAN D MCINNES
Active
Individual
BRIAN D MCINNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO0000582
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039598
LABOR & INDUSTRY
WA
01
—
480025768
RAILROAD MEDICARE
—
05
—
8209637
—
WA
01
—
MC2163
BLUE SHIELD
WA
01
—
US0863649
AETNA/USHC SPECIALIST
WA
Enumeration date
08/04/2006
Last updated
04/07/2008
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