| Man Alive, Llc | |
|
9430 Ne Vancouver Mall Dr Vancouver WA 98662-6172 | |
| (360) 253-6947 | |
| Not Available |
| Full Name | Man Alive, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9430 Ne Vancouver Mall Dr, Vancouver, Washington |
| Authorized Official Name and Position | Dean Barrus (OWNER) |
| Authorized Official Contact | 3609845806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Man Alive, Llc 9430 Ne Vancouver Mall Dr Vancouver WA 98662-6172 Ph: (360) 984-5806 | Man Alive, Llc 9430 Ne Vancouver Mall Dr Vancouver WA 98662-6172 Ph: (360) 253-6947 |
| NPI Number | 1437530185 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 02/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437530185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00043839 (Washington) | Primary |
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