Individual
BRIAN L MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
Mailing address
1100 9TH AVE, MS:M4-PA, SEATTLE, WA 98101-2756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00016800
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR & INDUSTRY
WA
01
—
110089488
RAILROAD MEDICARE
—
05
—
1615905
—
WA
01
—
M331
BLUE SHIELD
WA
01
—
MD6896W
ALASKA MEDICAID
WA
01
—
US0899633
AETNA/USHC PCP
WA
Enumeration date
07/18/2006
Last updated
06/17/2008
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