Individual
BRETT E. ENLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 N LIDGERWOOD SUITE 126, SPOKANE, WA 99208
(509) 444-8200
(509) 434-0392
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
MD00041053
WA
207P00000X
Emergency Medicine Physician
Primary
MD 00041053
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G000352000
MEDICARE GROUP
WA
01
—
GAB32688
MDC PIN #
WA
01
—
MD00041053
LICENCE
WA
Enumeration date
01/25/2007
Last updated
09/20/2023
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