Individual
BRYAN CUESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12606 E MISSION AVE, SPOKANE VALLEY, WA 99216-3421
(509) 924-6650
Mailing address
PO BOX 1645, LAJAS, PR 00667-1645
(939) 579-4008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60731316
WA
208D00000X
General Practice Physician
18642
PR
Other
Enumeration date
01/10/2014
Last updated
07/21/2022
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