Individual
DR. CHARLES E BRONDOS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
715 S COWLEY ST, SUITE 224, SPOKANE, WA 99202-1375
(509) 624-9154
(509) 838-0102
Mailing address
715 S COWLEY ST, SUITE 224, SPOKANE, WA 99202-1375
(509) 624-9154
(509) 838-0102
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
13652
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1045905
—
WA
01
—
31507
LABOR AND INDUSTRIES
WA
05
—
35-9723
—
MT
01
—
E01073
ASURIS
—
01
—
KA634
BLUE CROSS OF IDAHO
ID
Enumeration date
06/20/2006
Last updated
07/09/2007
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