Individual
DR. BRANDON ISAAC GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.P.H.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-3219
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
OP60135718
WA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
OP60135718
WA
2083X0100X
Occupational Medicine Physician
OP60135718
WA
Other
Enumeration date
06/26/2008
Last updated
06/09/2023
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