person
Dr. John Leonard Brottem III, MD
Specialist in Olympia, Washington
NPI 1972566818

John Leonard Brottem III is a Specialist based in Olympia, WA. John Leonard Brottem III practices in Olympia, WA and has the professional credentials of MD. The NPI Number for John Leonard Brottem III is 1972566818 and holds a License No. MD00018177 (Washington).

The current practice location address for John Leonard Brottem III is 500 Lilly Rd Ne, Olympia, WA and can be reached out via phone at 360-413-8272 and via fax at 360-413-8878. You can also correspond with John Leonard Brottem III through the mailing address at 500 LILLY RD NE, OLYMPIA, WA - 98506-5197 (mailing address contact number: 360-413-8272).

Location: 500 Lilly Rd Ne, Olympia, WA, 98506-5197
person
Provider Profile Details
NPI Number
1972566818
Provider Name
John Leonard Brottem III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
500 Lilly Rd Ne, Olympia, WA, 98506-5197
Phone Number
360-413-8272
Fax Number
360-413-8878
Provider Enumeration Date
04/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8214801 05 WA
institution
Provider Business Practice Location Address Details
Address
500 Lilly Rd Ne
City
State
Zip
98506-5197
Phone Number
360-413-8272
Fax Number
360-413-8878
person
Provider Business Mailing Address Details
Address
500 Lilly Rd Ne
City
State
Zip
98506-5197
Phone Number
360-413-8272
Fax Number
360-413-8878
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD00018177 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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