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Individual

BRENT SYMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
20 N FISHER PARK WAY, STE 100, EAGLE, ID 83616-4709
(425) 712-9277
(425) 775-5085
Mailing address
20 N FISHER PARK WAY, STE 100, EAGLE, ID 83616-4709
(425) 712-9277

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH00034584
WA
111N00000X
Chiropractor
Primary
CHIA-2062
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0213787
LABOR AND INDUSTRIES
01
3853SY
REGENCE BLUESHIELD RIDER
Enumeration date
10/24/2006
Last updated
06/08/2021
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