Individual
BRYAN AGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 E HOLLAND AVE STE 100, SPOKANE, WA 99218-1246
(509) 228-1000
(509) 252-9300
Mailing address
1950 CIRCLE OF HOPE DR, RM 1570, SALT LAKE CITY, UT 84112-5500
(801) 581-2396
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD61047573
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
09/07/2021
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