Individual
ELLIOT SPENCER BRESHEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
533 S 336TH ST STE C, FEDERAL WAY, WA 98003-6329
(253) 661-1700
Mailing address
PO BOX 26730, FEDERAL WAY, WA 98093-3730
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MD61563986
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD61563986
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
03/13/2026
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