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Individual

DR. BRIAN CHRISTOPHER TRYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
MD27479
OR
2085N0700X
Neuroradiology Physician
MD60366244
WA
2085R0202X
Diagnostic Radiology Physician
M-12225
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD60366244
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952478745
ID
05
2002874
WA
05
278890
OR
01
326635
L&I PROVIDER ID
WA
01
326637
L&I PROVIDER ID
WA
01
326640
L&I PROVIDER ID
WA
01
326643
L&I PROVIDER ID
WA
Enumeration date
11/29/2006
Last updated
05/02/2018
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