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Individual

ROBERT BRASCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
34509 9TH AVE S STE 204, FEDERAL WAY, WA 98003-8708
(253) 835-5510
Mailing address
34509 9TH AVE S STE 204, FEDERAL WAY, WA 98003-8708
(253) 835-5510

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
207050
NY
208600000X
Surgery Physician
Primary
MD60864173
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01943553
NY
05
2120876
WA
Enumeration date
10/25/2006
Last updated
12/01/2020
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