Jeremy Bryant, PA-C
Physician Assistant, Surgical in Tacoma, WA. Individual provider (NPI-1).
NPI number1487323978
StatusActive
Last updated in NPPESDec 21, 2022
Details
- NPI
- 1487323978
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeremy Bryant
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2021
- Certification date
- Dec 21, 2022
- Last updated
- Dec 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA61357280 | WA | Yes |
Practice location
209 Martin Luther King Jr WayTacoma, WA 98405-4265
Phone 253-596-3300 · Fax 206-630-2887
Mailing address
209 Martin Luther King Jr WayTacoma, WA 98405-4265
Phone 253-596-3300 · Fax 206-630-2887
Other practice locations
237 Professional Way
Shelton, WA 98584-4404
Shelton, WA 98584-4404
Phone 230-426-1611
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