Individual
TIMOTHY E BRUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 W 5TH, #400 WEST, SPOKANE, WA 99204
(509) 353-3960
(509) 343-0134
Mailing address
104 W 5TH, #400 WEST, SPOKANE, WA 99204
(509) 353-3960
(509) 343-0134
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
Primary
MD00017383
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024765
—
MT
01
—
130579
L&I
WA
05
—
8145203
—
WA
01
—
B002
TRI CARE
—
01
—
BR5756
ASURIS
WA
Enumeration date
06/08/2006
Last updated
02/19/2008
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