Individual
BRANDON ROSS WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3726 BROADWAY STE 201, EVERETT, WA 98201-3788
(425) 317-9119
(425) 317-9118
Mailing address
3726 BROADWAY STE 201, EVERETT, WA 98201-3788
(425) 317-9119
(425) 317-9118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2012-0050
NM
363A00000X
Physician Assistant
Primary
PA60319271
WA
Other
Enumeration date
10/12/2012
Last updated
07/07/2021
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