Organization
L R BRYANT MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY C BRYANT MD (PRESIDENT)
(509) 689-2525
Entity
Organization
Contact information
Practice address
520 W. INDIAN AVENUE, BREWSTER, WA 98812
(509) 689-2525
(509) 689-3247
Mailing address
PO BOX 98, BREWSTER, WA 98812-0098
(509) 689-2525
(509) 689-3247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00026120
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1115732
—
WA
Enumeration date
02/22/2008
Last updated
07/28/2010
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