Individual
TRACEY L BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
216 W 10TH AVE, SUITE 300, KENNEWICK, WA 99336-6300
(509) 586-5644
(509) 586-5645
Mailing address
216 W 10TH AVE, SUITE 300, KENNEWICK, WA 99336-6300
(509) 586-5644
(509) 586-5645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003465
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8349060
—
WA
Enumeration date
01/27/2006
Last updated
05/13/2015
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