Provider Demographics
NPI:1235474859
Name:BRITTIAN, DONALD WESELY (EDS)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:WESELY
Last Name:BRITTIAN
Suffix:
Gender:M
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1126 MEADE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:PROSSER
Mailing Address - State:WA
Mailing Address - Zip Code:99350-1367
Mailing Address - Country:US
Mailing Address - Phone:509-786-1820
Mailing Address - Fax:509-786-2020
Practice Address - Street 1:1126 MEADE AVE STE A
Practice Address - Street 2:
Practice Address - City:PROSSER
Practice Address - State:WA
Practice Address - Zip Code:99350-1367
Practice Address - Country:US
Practice Address - Phone:509-786-1820
Practice Address - Fax:509-786-2020
Is Sole Proprietor?:No
Enumeration Date:2012-12-07
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA423033J174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist