Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENT PACKER, M.D.
Active Sole ProprietorDR. BRENT PACKER, M.D. is a General Practice healthcare provider located in LACEY, Washington. NPI 1902959018 is currently active in the NPPES registry. Verify at CMS.
General Practice · LACEY, WA
Registration Details
- NPI Number
- 1902959018
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2007 (19.545100341825 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD00033748 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4220 INGLESIDE DR SELACEY, WA, 985032108Browse WA providers · Browse ZIP 98503
- Phone
- 3604563429
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in LACEY, WA
| Name | Credential | NPI |
|---|---|---|
| JARED BRUCE | DO | 1295272433 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.