Individual
BRETT DELEGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16528 E DESMET CT STE A1300, SPOKANE VALLEY, WA 99216-3522
(509) 363-7817
Mailing address
13805 E 17TH AVE, SPOKANE VALLEY, WA 99216-0463
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
RT00005657
WA
Other
Enumeration date
05/31/2020
Last updated
05/31/2020
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