Individual
BRYAN D WALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3624 ENSIGN RD NE, STE B, OLYMPIA, WA 98506-5074
(360) 493-6400
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(800) 394-4445
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29614
WA
Other
Enumeration date
06/12/2006
Last updated
09/26/2012
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