Individual
REBECCA C BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5101 BRENNER RD NW, OLYMPIA, WA 98502-1534
(360) 915-6276
Mailing address
5101 BRENNER RD NW, OLYMPIA, WA 98502-1534
(360) 915-6276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00046239
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421834
—
IA
05
—
3016402
—
IA
05
—
5016402
—
IA
05
—
6016402
—
IA
05
—
7016402
—
IA
05
—
8016402
—
IA
05
—
9016402
—
IA
Enumeration date
12/28/2005
Last updated
08/09/2007
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