Individual
RONALD L BRAZG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
723 SW 10TH ST, STE 250, RENTON, WA 98057-5223
(425) 656-4040
(425) 656-4046
Mailing address
PO BOX 59028, RENTON, WA 98058-2028
(425) 251-5110
(425) 793-7458
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD00027071
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1076843
—
WA
01
—
110202819
RR MEDICARE
WA
Enumeration date
07/23/2006
Last updated
01/21/2010
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