Individual
BRANDON PHILLIP MALMSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 11TH AVE, LONGVIEW, WA 98632-2504
(360) 244-1808
Mailing address
PO BOX 345, RIDGEFIELD, WA 98642-0345
(360) 244-1808
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61565990
WA
Other
Enumeration date
03/07/2023
Last updated
07/07/2024
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