Individual
BRANDON J CHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000837
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477728020
—
WA
01
—
315587
L&I POST 7/21/13
WA
01
—
8947143
CV
WA
01
—
P00658452
RR MEDICARE
WA
Enumeration date
04/24/2008
Last updated
06/14/2022
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