Provider Demographics
NPI:1760538086
Name:BRIGNALL, MATTHEW SPENCER (ND)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:SPENCER
Last Name:BRIGNALL
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3007 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-6202
Mailing Address - Country:US
Mailing Address - Phone:253-678-6047
Mailing Address - Fax:253-573-1966
Practice Address - Street 1:3007 6TH AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-6202
Practice Address - Country:US
Practice Address - Phone:253-678-6047
Practice Address - Fax:253-573-1966
Is Sole Proprietor?:No
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000945175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath