Individual
BRUCE D BRAZINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(253) 534-7099
Mailing address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 534-7000
(253) 534-7099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00016007
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD00016007
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199312
STATE L&I
WA
05
—
1611201
—
WA
Enumeration date
07/04/2006
Last updated
08/12/2010
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