Individual
MR. BRIAN CLYDE SUNDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
617 BENTON ST, OMAK, WA 98841-9636
(509) 422-7409
(509) 422-7471
Mailing address
617 BENTON ST, OMAK, WA 98841-9636
(509) 422-7409
(509) 422-7471
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
—
—
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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