Lance D Brigman, Md, Ps | |
1004 Fir St Longview WA 98632-2527 | |
(360) 423-6110 | |
(360) 423-8078 |
Full Name | Lance D Brigman, Md, Ps |
---|---|
Speciality | Family Medicine |
Location | 1004 Fir St, Longview, Washington |
Authorized Official Name and Position | Lance D Brigman (M.D.) |
Authorized Official Contact | 3604236110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lance D Brigman, Md, Ps 1004 Fir St Longview WA 98632-2527 Ph: (360) 423-6110 | Lance D Brigman, Md, Ps 1004 Fir St Longview WA 98632-2527 Ph: (360) 423-6110 |
NPI Number | 1053505149 |
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Provider Enumeration Date | 08/31/2007 |
Last Update Date | 08/31/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053505149 | NPI | - | NPPES |
1104009 | Medicaid | WA | |
1084862 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00013785 (Washington) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD00030053 (Washington) | Secondary |
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