Organization
WESTERN ANESTHESIA ASSOCIATES INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDEN MANAWADU (CEO)
(509) 946-3340
Entity
Organization
Contact information
Practice address
1075 JADWIN AVE, SUITE 201, RICHLAND, WA 99352-3437
(509) 946-3340
Mailing address
PO BOX 1408, RICHLAND, WA 99352-1408
(509) 946-3340
(509) 943-7909
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
000301729
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7230402
—
WA
Enumeration date
05/31/2007
Last updated
10/09/2014
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