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Individual

BRANDON MICHAEL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
16528 E DESMET CT, SPOKANE VALLEY, WA 99216-3522
(509) 944-8910
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 944-8910
(509) 227-7070

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA1449
ID
363AM0700X
Medical Physician Assistant
PA176068
OR
363AM0700X
Medical Physician Assistant
Primary
PA61179237
WA

Other

Enumeration date
09/14/2012
Last updated
05/11/2022
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