Individual
DR. BRIAN K. BARSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4804 W CLEARWATER AVE, KENNEWICK, WA 99336-2119
(509) 942-2355
(509) 222-1289
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD60310747
WA
207Q00000X
Family Medicine Physician
42142
MN
207Q00000X
Family Medicine Physician
Primary
MD60310747
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123492700
—
MN
Enumeration date
05/27/2005
Last updated
09/28/2021
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