Individual provider · Type 1 NPI

Chris Brussow, MD

Student in an Organized Health Care Education/Training Program · Pasco, WA

NPI number 1346726023 Active

Practice location

7425 Wrigley Dr Ste 100
Pasco, WA 99301-5292

Mailing address

1501 Kings Highway, Family Medicine
Shreveport, LA 71130

Other practice locations

  • 1501 Kings Highway, Family Medicine, Shreveport, LA 71130 · (318) 626-0014

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Family Medicine Physician 207Q00000XMD61138389 (WA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

6 other providers at this address

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About NPI 1346726023

Chris Brussow, MD's National Provider Identifier is 1346726023, issued on Jul 16, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pasco, WA. The record was last updated on Jul 15, 2021.