Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | MD60289757 | WA |
Y | 2081S0010X | Sports Medicine | MD60289757 | WA |
Y | 213ES0000X | Sports Medicine | MD60289757 | WA |
NPI | 1558532150 |
---|---|
Provider Name | Dr. Erik Stanton Brand |
First Address | Bellevue, WA 98009-3382 |
Second Address | Bellevue, WA 98005-2329 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2008 |
Last Update Date | 30/03/2017 |