Individual
RICHARD D BRODSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
Mailing address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00022106
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018191
—
WA
Enumeration date
02/14/2007
Last updated
05/18/2021
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