Brandon Phillip Malmstadt
Brandon Phillip Malmstadt is an Optometrist in Longview, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2023
Practice location Address checks out
950 11th AveLongview, WA 98632-2504
Phone: (360) 244-1808
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Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence OD61565990 (WA) |
|---|
Record details
| NPI number | 1962102947 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 7, 2023 |
| Last updated in NPPES | July 7, 2024 |
| Certification date | July 7, 2024 |
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