Individual
GAYLE E BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, FT LEWIS, TACOMA, WA 98431-0001
(253) 968-2620
Mailing address
231 E TANGLEWOOD AVE, TACOMA, WA 98404-1355
(253) 968-2620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10004131
WA
363AM0700X
Medical Physician Assistant
Primary
PA10004131
WA
Other
Enumeration date
07/17/2006
Last updated
10/06/2019
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