L R Bryant Medical Corp | |
520 W. Indian Avenue Brewster WA 98812 | |
(509) 689-2525 | |
(509) 689-3247 |
Full Name | L R Bryant Medical Corp |
---|---|
Speciality | Family Medicine |
Location | 520 W. Indian Avenue, Brewster, Washington |
Authorized Official Name and Position | Timothy C Bryant (PRESIDENT) |
Authorized Official Contact | 5096892525 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
L R Bryant Medical Corp Po Box 98 Brewster WA 98812-0098 Ph: (509) 689-2525 | L R Bryant Medical Corp 520 W. Indian Avenue Brewster WA 98812 Ph: (509) 689-2525 |
NPI Number | 1972772051 |
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Provider Enumeration Date | 02/22/2008 |
Last Update Date | 07/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972772051 | NPI | - | NPPES |
1115732 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD00026120 (Washington) | Primary |
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