Individual
MR. BRANDON TRENT BROADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
3501 SHELBY RD. SUITE C, LYNNWOOD, WA 98087
(425) 745-9052
(425) 745-3372
Mailing address
2620 CENTER RD, EVERETT, WA 98204-4758
(425) 290-6024
(425) 290-8016
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018093
WA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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