Individual
MR. BRIAN JAMES NIBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 458-5800
(509) 473-4926
Mailing address
PO BOX 34640, SEATTLE, WA 98124-1640
(509) 458-5800
(509) 473-4926
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA10003200
WA
363A00000X
Physician Assistant
Primary
7794
AZ
363AM0700X
Medical Physician Assistant
PA10003200
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285746446
—
MT
05
—
1285746446
—
WA
05
—
8325425
—
WA
Enumeration date
08/31/2006
Last updated
01/10/2022
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