Individual
DR. ALAN STEVEN BRENNER
Active
Individual
DR. ALAN STEVEN BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
MD2012-0882
NM
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
8123
SD
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MD00016472
WA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MD2012-0882
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1158609
—
WA
05
—
6301580
—
SD
01
—
G000100601
MEDICARE
WA
Enumeration date
01/21/2007
Last updated
05/13/2013
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