Individual
DR. BRANDON PENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
821 E BROADWAY AVE STE 1, MOSES LAKE, WA 98837-5934
(509) 350-4785
(509) 380-9591
Mailing address
821 E BROADWAY AVE STE 1, MOSES LAKE, WA 98837-5934
(509) 350-4785
(509) 380-9591
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
OP61115065
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
460177
LABOR AND INDUSTRIES PROVIDER NUMBER
WA
Enumeration date
06/15/2012
Last updated
08/09/2023
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