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Individual

MARVIN LAMAR BRYANT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2525 NE 139TH ST, VANCOUVER, WA 98686-2719
(360) 882-2778
(360) 604-1737
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1737

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00044491
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8431322
WA
Enumeration date
06/05/2006
Last updated
07/21/2016
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