Individual
BRYAN DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3261 NW MOUNT VINTAGE WAY STE 221, SILVERDALE, WA 98383-6039
(360) 479-1952
(360) 479-0318
Mailing address
3261 NW MOUNT VINTAGE WAY STE 221, SILVERDALE, WA 98383-6039
(360) 479-1952
(360) 479-0318
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD61107726
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2179758
—
WA
Enumeration date
09/09/2015
Last updated
08/04/2021
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