Individual
ROBERT A BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5421
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5421
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
G51139
CA
207RG0100X
Gastroenterology Physician
Primary
MD60625350
WA
207RG0100X
Gastroenterology Physician
Q3152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G511390
—
CA
Enumeration date
09/14/2006
Last updated
12/08/2020
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