Individual
DR. BRANDON WALLACE GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8000
Mailing address
111 S 11TH AVE STE 320, YAKIMA, WA 98902-3273
(509) 454-8888
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23560
NV
207P00000X
Emergency Medicine Physician
51008
AZ
207P00000X
Emergency Medicine Physician
61518892
WA
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
61518892
WA
Other
Enumeration date
03/25/2014
Last updated
04/12/2026
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