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Individual

BRIAN SHULL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15418 MAIN ST UNIT 200, MILL CREEK, WA 98012-9032
(425) 225-8004
(425) 225-8021
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3903

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00034935
WA

Other

Enumeration date
02/20/2006
Last updated
03/15/2013
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