Individual
DR. BRIAN WADE LEGENDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
2850 THRESHER AVE, SILVERDALE, WA 98315-2105
(360) 315-4453
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 315-4453
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
A92256
CA
208D00000X
General Practice Physician
A92256
CA
Other
Enumeration date
11/07/2006
Last updated
05/02/2023
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