Organization
MAN ALIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN BARRUS (OWNER)
(360) 984-5806
Entity
Organization
Contact information
Practice address
9430 NE VANCOUVER MALL DR, VANCOUVER, WA 98662-6172
(360) 253-6947
Mailing address
9430 NE VANCOUVER MALL DR, VANCOUVER, WA 98662-6172
(360) 984-5806
(360) 984-5994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00043839
WA
Other
Enumeration date
06/17/2015
Last updated
02/01/2016
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