Individual
BRENDEN O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5901 N LIDGERWOOD ST STE 218, SPOKANE, WA 99208-1122
(509) 464-6208
Mailing address
3711 S SR 27 HWY APT J302, SPOKANE VALLEY, WA 99206-6186
(208) 590-9251
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1199432
WA
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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