MEDICARE: DR. ANDREW BRIGG D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	708	NE
2	207P00000X	Emergency Medicine Physician	2018012783	MO

General Provider Information

NPI Number	:	1215184783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW BRIGG D.O.

Provider Business Mailing Address
First Line	:	9040A JACKSON AVE
Second Line	:
City	:	JOINT BASE LEWIS MCCHORD
State	:	WA
Zip	:	98431-0001
Country	:	US
Telephone Number	:	253-363-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	9040 A JACKSON AVE
Second Line	:
City	:	JOINT BASE LEWIS MCCHORD
State	:	WA
Zip	:	98431-9098
Country	:	US
Telephone Number	:	253-363-2300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2008
Last Update Date	:	10/05/2023

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