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Individual

MR. ADAM W. BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
(253) 874-1637
Mailing address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
(253) 874-1637

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60629825
WA
363AM0700X
Medical Physician Assistant
Primary
PA60629825
WA
363AS0400X
Surgical Physician Assistant
PA60629825
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2060042
WA
Enumeration date
01/25/2016
Last updated
10/21/2020
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