Individual
DR. BRIAN GUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MS
Contact information
Practice address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 747-4455
(509) 363-7064
Mailing address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-4575
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
OP60761855
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
OP60761855
WA
Other
Enumeration date
03/31/2015
Last updated
07/26/2022
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