Individual
DANIEL L BRELSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 NE 4TH ST, STE 105, RENTON, WA 98056-4100
(425) 690-3410
(425) 690-9410
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60688559
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027540
—
WA
Enumeration date
06/03/2013
Last updated
08/17/2021
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