Individual
BRYAN KIM DORITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
518 E CLAY AVE, CHEWELAH, WA 99109-8947
(509) 935-6004
Mailing address
2120 REHBERG LN APT 2, BILLINGS, MT 59102-2040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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