MIRANDA TAYLOR IVAN BRANSTOOL

BELLEVUE, WA
NPI1942837240
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: WA  MD61520802)
Additional Taxonomies207L00000X Anesthesiology
(Licence: OH  57.249423)
Enumeration Date2020-03-25
Last Update Date2024-09-18
Business Address
MIRANDA TAYLOR IVAN BRANSTOOL MD
1035 116TH AVE NE
BELLEVUE, WA 98004-4604
Phone number: 425-455-2015
Mailing Address
MIRANDA TAYLOR IVAN BRANSTOOL MD
PO BOX 4069
EVERETT, WA 98204-0007
Phone number: