Brandon Phillip Malmstadt
NPI #1962102947 in Longview, Washington
Provider Information
- NPI Number
- 1962102947
- Entity Type
- Individual
- Name
- Brandon Phillip Malmstadt
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Enumeration Date
- Mar 7, 2023
- Last Updated
- Jul 7, 2024
Practice Location
- Address
- 950 11TH AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2504
- Phone
- (360) 244-1808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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