Individual
LARRY KENNETH O'BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 14TH AVE SE, PUYALLUP, WA 98372-3770
(253) 697-5647
Mailing address
2910 16TH ST SE, PUYALLUP, WA 98374-1379
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD38704
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8286821
—
WA
Enumeration date
01/15/2007
Last updated
05/21/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us